Bangorn S Terry Dmd
InactiveIllinois license 019024025
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 019024025
- Status
- Inactive
- First issued
- November 7, 1995
- Expired
- September 30, 2009
- License holder
- Bangorn S Terry Dmd
- Entity type
- Individual
Classifications
- Licensed Dentist (Dental) Dental
More from the license record
- Current term began
- 10/01/2006
Contact
San Antonio, TX 78258
Texas County