Niles Walter Herrod Dds
InactiveIllinois license 019012250
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 019012250
- Status
- Inactive
- First issued
- July 25, 1963
- Expired
- September 30, 1990
- License holder
- Niles Walter Herrod Dds
- Entity type
- Individual
Classifications
- Licensed Dentist (Dental) Dental
More from the license record
- Current term began
- 07/25/1963
Contact
Provo, UT 84601
Utah County