FRANCISCO J PICO-FAZZI DDS - Dentist License in Illinois | # 018000375

FRANCISCO J PICO-FAZZI DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000375

License Status

NOT RENEWED

Business

N

First Name

FRANCISCO J

Last Name

PICO-FAZZI

Suffix

DDS

Business Name

FRANCISCO J PICO-FAZZI DDS

Original Issue Date

07/05/1989

Effective Date

07/05/1989

Expiration Date

06/30/1990

State

IL

Specialty/Qualifier

General Practice Residency

Ever Disciplined

N

LastModifiedDate

10/12/2005