MELISSA JOY PATENIO - Dentist License in Illinois | # 137000763

MELISSA JOY PATENIO

Business Entity

INACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000763

License Status

INACTIVE

Business

N

First Name

MELISSA

Middle

JOY

Last Name

PATENIO

Business Name

MELISSA JOY PATENIO

Original Issue Date

08/13/2009

Effective Date

08/14/2015

Expiration Date

09/30/2018

State

IL

Specialty/Qualifier

CONSCIOUS SEDATION, PARENTERAL

Ever Disciplined

N

LastModifiedDate

06/07/2018