DAVID B ETTINGER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000413

License Status

NOT RENEWED

Business

First Name

DAVID B

Last Name

ETTINGER

Business Name

DAVID B ETTINGER

Original Issue Date

10/26/1996

Effective Date

10/26/1996

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