BERTHA M DIEGUEZ-MARINO - Dentist License in Illinois | # 018000414

BERTHA M DIEGUEZ-MARINO

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000414

License Status

NOT RENEWED

Business

N

First Name

BERTHA

Middle

M

Last Name

DIEGUEZ-MARINO

Business Name

BERTHA M DIEGUEZ-MARINO

Original Issue Date

05/18/1990

Effective Date

05/18/1990

Expiration Date

06/10/1992

State

IL

Specialty/Qualifier

Orthodontics

Ever Disciplined

N

LastModifiedDate

10/12/2005