License Directory

Gerald P Poulsen Dds

Expired

Illinois license 019013062

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
019013062
Status
Expired (Not Renewed)
First issued
November 18, 1966
Expired
September 30, 1984
License holder
Gerald P Poulsen Dds
Entity type
Individual

Classifications

  • Licensed Dentist (Dental) Dental

More from the license record

Current term began
11/18/1966

Contact

Granger, UT 84119
Utah County