MIRIAM R PLAZA - Dentist License in Illinois | # 020007132

MIRIAM R PLAZA

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020007132

License Status

NOT RENEWED

Business

N

First Name

MIRIAM R

Last Name

PLAZA

Business Name

MIRIAM R PLAZA

Original Issue Date

03/31/1990

Effective Date

10/01/2006

Expiration Date

09/30/2009

State

IL

Ever Disciplined

N

LastModifiedDate

11/04/2009