Michael James Fosselman Dds
ExpiredIllinois license 021000900
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 021000900
- Status
- Expired (Not Renewed)
- First issued
- December 9, 1976
- Expired
- September 30, 2012
- License holder
- Michael James Fosselman Dds
- Entity type
- Individual
Classifications
- Licensed Specialist in Dentistry (Dental) Dental
More from the license record
- Specialty
- Orthodontics
- Current term began
- 09/21/2009
Other Illinois licenses under this name
-
IL
ExpiredWashington, ILExpired Sep 30, 2012
-
IL
InactivePeoria, ILExpired Sep 30, 1986
Contact
Washington, IL 61571
Tazewell County