MARIANA FERNANDEZ LOZADA DDS - Dentist License in Illinois | # 018002140

MARIANA FERNANDEZ LOZADA DDS

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018002140

License Status

EXPIRED

Business

N

Title

DDS

First Name

MARIANA

Last Name

FERNANDEZ LOZADA

Business Name

MARIANA FERNANDEZ LOZADA DDS

Original Issue Date

06/02/2020

Effective Date

06/09/2023

Expiration Date

06/30/2023

State

IL

Specialty/Qualifier

Prosthodontics

Ever Disciplined

N

LastModifiedDate

06/02/2020