GLENN ROBERT POULESON Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021001347

License Status

ACTIVE

Business

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

City

DOWNERS GROVE

State

Zip

60516

County

DUPAGE

Specialty/Qualifier

Endodontics

Ever Disciplined

LastModifiedDate

09/20/2024