ROBERT LEON EWBANK DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000153

License Status

INACTIVE

Business

First Name

ROBERT LEON

Last Name

EWBANK

Suffix

DDS

Business Name

ROBERT LEON EWBANK DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/2000

City

DANVILLE

State

Zip

61832

County

VERMILION

Specialty/Qualifier

Deep Sedation and General Anesthesia

Ever Disciplined

LastModifiedDate

10/17/2005