ELIZABETH ANITA VAZQUEZ - Dentist License in Illinois | # 020011174

ELIZABETH ANITA VAZQUEZ

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011174

License Status

NOT RENEWED

Business

N

First Name

ELIZABETH

Middle

ANITA

Last Name

VAZQUEZ

Business Name

ELIZABETH ANITA VAZQUEZ

Original Issue Date

09/20/2004

Effective Date

08/10/2015

Expiration Date

09/30/2018

State

IL

Ever Disciplined

N

LastModifiedDate

10/31/2018