Jerry Thomas Washburn Dds

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

019011376

Status

Expired (Not Renewed)

First issued

August 25, 1958

Expired

September 30, 1994

License holder

Jerry Thomas Washburn Dds

Entity type

Individual

Classifications

• Licensed Dentist (Dental) Dental

More from the license record

Current term began

08/25/1958

Other Illinois licenses under this name

• IL
  Jerry Thomas Washburn Dds

  License 31*****72

  Licensed Dentist Controlled Substance (Dental)
  Expired

  Moline, IL

  Expired Sep 30, 1992

Contact