GLENN ROBERT POULESON - Dentist License in Illinois | # 021001347

GLENN ROBERT POULESON

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021001347

License Status

ACTIVE

Business

N

First Name

GLENN ROBERT

Last Name

POULESON

Business Name

GLENN ROBERT POULESON

Original Issue Date

09/29/1987

Effective Date

09/20/2024

Expiration Date

09/30/2027

State

IL

Specialty/Qualifier

Endodontics

Ever Disciplined

N

LastModifiedDate

09/20/2024