MARIA ROMANA ROMAN - Dentist License in Illinois | # 018001332

MARIA ROMANA ROMAN

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001332

License Status

EXPIRED

Business

N

First Name

MARIA

Middle

ROMANA

Last Name

ROMAN

Business Name

MARIA ROMANA ROMAN

Original Issue Date

05/06/2002

Effective Date

05/06/2002

Expiration Date

06/30/2003

State

IL

Specialty/Qualifier

General Practice Residency

Ever Disciplined

N

LastModifiedDate

10/12/2005