JAVONNE LANETTE MCKOY DDS - Dentist License in Illinois | # 018001516

JAVONNE LANETTE MCKOY DDS

Business Entity

ACTIVE

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001516

License Status

ACTIVE

Business

N

First Name

JAVONNE

Middle

LANETTE

Last Name

MCKOY

Suffix

DDS

Business Name

JAVONNE LANETTE MCKOY DDS

Original Issue Date

09/29/2004

Effective Date

09/29/2004

Expiration Date

01/31/3004

State

IL

Specialty/Qualifier

Orthodontics

Ever Disciplined

N

LastModifiedDate

10/12/2005