GEORGEA BABY THEKKETHOTTIYIL DDS - Dentist License in Illinois | # 019029190

GEORGEA BABY THEKKETHOTTIYIL DDS

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019029190

License Status

INACTIVE

Business

N

First Name

GEORGEA

Middle

BABY

Last Name

THEKKETHOTTIYIL

Suffix

DDS

Business Name

GEORGEA BABY THEKKETHOTTIYIL DDS

Original Issue Date

07/31/2012

Effective Date

07/31/2012

Expiration Date

09/30/2015

State

IL

Ever Disciplined

N

LastModifiedDate

06/08/2015