Samson S Derebe Dmd
InactiveIllinois license 019024484
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 019024484
- Status
- Inactive
- First issued
- July 15, 1997
- Expired
- September 30, 2000
- License holder
- Samson S Derebe Dmd
- Entity type
- Individual
Classifications
- Licensed Dentist (Dental) Dental
More from the license record
- Current term began
- 07/15/1997
Contact
Woodland Hills, CA 91367
California County