MARIA ISABEL BUSTAMANTE DMD - Dentist License in Illinois | # 019026589

MARIA ISABEL BUSTAMANTE DMD

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026589

License Status

NOT RENEWED

Business

N

First Name

MARIA

Middle

ISABEL

Last Name

BUSTAMANTE

Suffix

DMD

Business Name

MARIA ISABEL BUSTAMANTE DMD

Original Issue Date

09/22/2004

Effective Date

09/30/2004

Expiration Date

09/30/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/10/2007