SILVANA LUCIA GONZALEZ-MANZUR DDS - Dentist License in Illinois | # 018001323

SILVANA LUCIA GONZALEZ-MANZUR DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001323

License Status

NOT RENEWED

Business

N

First Name

SILVANA

Middle

LUCIA

Last Name

GONZALEZ-MANZUR

Suffix

DDS

Business Name

SILVANA LUCIA GONZALEZ-MANZUR DDS

Original Issue Date

02/13/2002

Effective Date

02/13/2002

Expiration Date

07/31/2002

State

IL

Specialty/Qualifier

Orthodontics

Ever Disciplined

N

LastModifiedDate

10/12/2005