TINA MARIA JOSE DMD - Dentist License in Illinois | # 019031782

TINA MARIA JOSE DMD

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019031782

License Status

NOT RENEWED

Business

N

Title

DMD

First Name

TINA

Middle

MARIA

Last Name

JOSE

Business Name

TINA MARIA JOSE DMD

Original Issue Date

07/09/2018

Effective Date

07/09/2018

Expiration Date

01/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

05/09/2022