DEIDRA THERESA RONDENO - Dentist License in Illinois | # 018000953

DEIDRA THERESA RONDENO

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000953

License Status

NOT RENEWED

Business

N

First Name

DEIDRA THERESA

Last Name

RONDENO

Business Name

DEIDRA THERESA RONDENO

Original Issue Date

07/19/1996

Effective Date

07/19/1996

Expiration Date

06/30/1997

State

IL

Specialty/Qualifier

Advanced General Dentistry

Ever Disciplined

N

LastModifiedDate

10/12/2005