JUAN A DE OBESO - Dentist License in Illinois | # 018000427

JUAN A DE OBESO

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000427

License Status

NOT RENEWED

Business

N

First Name

JUAN

Middle

A

Last Name

DE OBESO

Business Name

JUAN A DE OBESO

Original Issue Date

05/31/1990

Effective Date

05/31/1990

Expiration Date

06/30/1992

State

IL

Specialty/Qualifier

Orthodontics

Ever Disciplined

N

LastModifiedDate

10/12/2005