OMAR ELI BARRAZA DMD - Dentist License in Illinois | # 019031339

OMAR ELI BARRAZA DMD

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019031339

License Status

NOT RENEWED

Business

N

Title

DMD

First Name

OMAR

Middle

ELI

Last Name

BARRAZA

Business Name

OMAR ELI BARRAZA DMD

Original Issue Date

08/08/2017

Effective Date

08/29/2018

Expiration Date

01/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

05/09/2022