DAVIN EDWARD MELLUS DMD - Dentist License in Illinois | # 137000747

DAVIN EDWARD MELLUS DMD

Business Entity

CANCELLED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000747

License Status

CANCELLED

Business

N

Title

DMD

First Name

DAVIN

Middle

EDWARD

Last Name

MELLUS

Business Name

DAVIN EDWARD MELLUS DMD

Original Issue Date

01/23/2009

Effective Date

01/23/2009

Expiration Date

09/30/2009

State

IL

Specialty/Qualifier

CONSCIOUS SEDATION, PARENTERAL

Ever Disciplined

N

LastModifiedDate

11/15/2011