ALBERT LEOPOLD PORRECA JR DDS - Dentist License in Illinois | # 019015392

ALBERT LEOPOLD PORRECA JR DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015392

License Status

NOT RENEWED

Business

N

First Name

ALBERT LEOPOLD

Last Name

PORRECA JR

Suffix

DDS

Business Name

ALBERT LEOPOLD PORRECA JR DDS

Original Issue Date

01/06/1976

Effective Date

01/06/1976

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005