ERIN NICOLE MACKO DDS - Dentist License in Illinois | # 018001780

ERIN NICOLE MACKO DDS

Business Entity

CANCELLED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001780

License Status

CANCELLED

Business

N

Title

DDS

First Name

ERIN

Middle

NICOLE

Last Name

MACKO

Business Name

ERIN NICOLE MACKO DDS

Original Issue Date

07/09/2010

Effective Date

06/23/2010

Expiration Date

06/22/2011

State

IL

Specialty/Qualifier

General Practice Residency

Ever Disciplined

N

LastModifiedDate

07/09/2010