ERIC MATTHEW FOSS DDS - Dentist License in Illinois | # 136000109

ERIC MATTHEW FOSS DDS

Business Entity

EXPIRED

License Type

Dentist

Description

RESTRICTED FACULTY LICENSE

License Number

136000109

License Status

EXPIRED

Business

N

First Name

ERIC

Middle

MATTHEW

Last Name

FOSS

Suffix

DDS

Business Name

ERIC MATTHEW FOSS DDS

Original Issue Date

06/09/2005

Effective Date

06/09/2005

Expiration Date

06/30/2007

State

IL

Ever Disciplined

N

LastModifiedDate

07/03/2007