GABRIELA I EISENMANN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000292

License Status

NOT RENEWED

Business

First Name

GABRIELA

Middle

Last Name

EISENMANN

Business Name

GABRIELA I EISENMANN

Original Issue Date

08/12/1988

Effective Date

08/12/1988

Expiration Date

08/10/1990

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Periodontics

Ever Disciplined

LastModifiedDate

10/12/2005