TENY MATAVOOSI - Dentist License in Illinois | # 019032227

TENY MATAVOOSI

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019032227

License Status

NOT RENEWED

Business

N

First Name

TENY

Last Name

MATAVOOSI

Business Name

TENY MATAVOOSI

Original Issue Date

06/27/2019

Effective Date

06/27/2019

Expiration Date

01/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

05/09/2022