Frederick Charle Burnham
InactiveIllinois license 019018491
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 019018491
- Status
- Inactive
- First issued
- March 23, 1983
- Expired
- September 30, 2015
- License holder
- Frederick Charle Burnham
- Entity type
- Individual
Classifications
- Licensed Dentist (Dental) Dental
More from the license record
- Current term began
- 09/13/2012
Contact
Bettendorf, IA 52722
Iowa County