ERNST A CORNIELSEN DDS - Dentist License in Illinois | # 137000074

ERNST A CORNIELSEN DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000074

License Status

NOT RENEWED

Business

N

First Name

ERNST A

Last Name

CORNIELSEN

Suffix

DDS

Business Name

ERNST A CORNIELSEN DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/2006

State

IL

Specialty/Qualifier

Deep Sedation and General Anesthesia

Ever Disciplined

N

LastModifiedDate

11/08/2006