ALFREDO C AZCONA DDS - Dentist License in Illinois | # 019015181

ALFREDO C AZCONA DDS

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015181

License Status

INACTIVE

Business

N

First Name

ALFREDO C

Last Name

AZCONA

Suffix

DDS

Business Name

ALFREDO C AZCONA DDS

Original Issue Date

07/10/1975

Effective Date

07/10/1975

Expiration Date

09/30/1996

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005