CANDACE THERESE WAKEFIELD DMD - Dentist License in Illinois | # 136000088

CANDACE THERESE WAKEFIELD DMD

Business Entity

EXPIRED

License Type

Dentist

Description

RESTRICTED FACULTY LICENSE

License Number

136000088

License Status

EXPIRED

Business

N

First Name

CANDACE

Middle

THERESE

Last Name

WAKEFIELD

Suffix

DMD

Business Name

CANDACE THERESE WAKEFIELD DMD

Original Issue Date

01/16/2003

Effective Date

01/16/2003

Expiration Date

01/01/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/13/2005