ALBERT ZICKMANN DDS Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000346

License Status

CANCELLED

Business

First Name

ALBERT

Last Name

ZICKMANN

Suffix

DDS

Business Name

ALBERT ZICKMANN DDS

Original Issue Date

10/26/1993

Effective Date

10/26/1993

Expiration Date

09/30/2000

City

CHICAGO

State

Zip

60614

County

COOK

Specialty/Qualifier

Conscious Sedation, Parenteral

Ever Disciplined

LastModifiedDate

10/13/2005