NATNICHA PRANEETPONG - Dentist License in Illinois | # 018002266

NATNICHA PRANEETPONG

Business Entity

ACTIVE

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018002266

License Status

ACTIVE

Business

N

First Name

NATNICHA

Last Name

PRANEETPONG

Business Name

NATNICHA PRANEETPONG

Original Issue Date

06/04/2024

Effective Date

07/01/2024

Expiration Date

05/11/2027

State

IL

Specialty/Qualifier

Orthodontics

Ever Disciplined

N

LastModifiedDate

06/04/2024