REBECCA J FORNERO - Dentist License in Illinois | # 021001464

REBECCA J FORNERO

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021001464

License Status

NOT RENEWED

Business

N

First Name

REBECCA J

Last Name

FORNERO

Business Name

REBECCA J FORNERO

Original Issue Date

11/04/1989

Effective Date

07/16/2018

Expiration Date

01/31/2022

State

IL

Specialty/Qualifier

ORTHODONTICS

Ever Disciplined

N

LastModifiedDate

05/09/2022