Jay Marshall Suverkrup Dmd

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

019015369

Status

Inactive

First issued

October 7, 1975

Expired

September 30, 2000

License holder

Jay Marshall Suverkrup Dmd

Entity type

Individual

Classifications

• Licensed Dentist (Dental) Dental

More from the license record

Current term began

10/07/1975

Other Illinois licenses under this name

• IL
  Jay Marshall Suverkrup Dmd

  License 31*****25

  Licensed Dentist Controlled Substance (Dental)
  Inactive

  Davenport, IA

  Expired Jun 1, 1982

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