CISSY KANNA FURUSHO DDS - Dentist License in Illinois | # 018000928

CISSY KANNA FURUSHO DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000928

License Status

NOT RENEWED

Business

N

First Name

CISSY KANNA

Last Name

FURUSHO

Suffix

DDS

Business Name

CISSY KANNA FURUSHO DDS

Original Issue Date

06/08/1996

Effective Date

06/08/1996

Expiration Date

06/30/1998

State

IL

Specialty/Qualifier

Pediatric Dentist

Ever Disciplined

N

LastModifiedDate

07/30/2018