GABRIEL J L VILLENA - Dentist License in Illinois | # 019022163

GABRIEL J L VILLENA

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019022163

License Status

NOT RENEWED

Business

N

First Name

GABRIEL J L

Last Name

VILLENA

Business Name

GABRIEL J L VILLENA

Original Issue Date

08/22/1990

Effective Date

08/22/1990

Expiration Date

09/30/1994

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005