REBECCA JANE TESTA - Dentist License in Illinois | # 137000760

REBECCA JANE TESTA

Business Entity

INACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000760

License Status

INACTIVE

Business

N

First Name

REBECCA

Middle

JANE

Last Name

TESTA

Business Name

REBECCA JANE TESTA

Original Issue Date

08/05/2009

Effective Date

08/05/2009

Expiration Date

09/30/2012

State

IL

Specialty/Qualifier

CONSCIOUS SEDATION, PARENTERAL

Ever Disciplined

N

LastModifiedDate

06/06/2012