SILVANA LUCIA GONZALEZ-MANZUR DDS - Dentist License in Illinois | # 018001471

SILVANA LUCIA GONZALEZ-MANZUR DDS

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001471

License Status

EXPIRED

Business

N

First Name

SILVANA

Middle

LUCIA

Last Name

GONZALEZ-MANZUR

Suffix

DDS

Business Name

SILVANA LUCIA GONZALEZ-MANZUR DDS

Original Issue Date

07/02/2004

Effective Date

07/02/2004

Expiration Date

05/30/2007

State

IL

Specialty/Qualifier

Orthodontics

Ever Disciplined

N

LastModifiedDate

06/06/2007