WALLY ALESSANDRO GARCIA FULLE - Dentist License in Illinois | # 019032964

WALLY ALESSANDRO GARCIA FULLE

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019032964

License Status

INACTIVE

Business

N

First Name

WALLY ALESSANDRO

Last Name

GARCIA FULLE

Business Name

WALLY ALESSANDRO GARCIA FULLE

Original Issue Date

12/09/2020

Effective Date

12/09/2020

Expiration Date

12/31/2021

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2021