VIRGINIA BAQUIAO NUEZ - Dentist License in Illinois | # 019017967

VIRGINIA BAQUIAO NUEZ

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019017967

License Status

NOT RENEWED

Business

N

First Name

VIRGINIA

Middle

BAQUIAO

Last Name

NUEZ

Business Name

VIRGINIA BAQUIAO NUEZ

Original Issue Date

01/22/1982

Effective Date

07/16/2009

Expiration Date

09/30/2012

State

IL

Ever Disciplined

N

LastModifiedDate

11/14/2012