Numpol Dejtiranukul
InactiveIllinois license 019025782
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 019025782
- Status
- Inactive
- First issued
- March 11, 2002
- Expired
- September 30, 2004
- License holder
- Numpol Dejtiranukul
- Entity type
- Individual
Classifications
- Licensed Dentist (Dental) Dental
More from the license record
- Current term began
- 03/11/2002
Contact
St Charles, MO 63304
Missouri County