RICHARD S VACCA - Dentist License in Illinois | # 018000331

RICHARD S VACCA

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000331

License Status

NOT RENEWED

Business

N

First Name

RICHARD

Middle

S

Last Name

VACCA

Business Name

RICHARD S VACCA

Original Issue Date

05/15/1989

Effective Date

05/15/1989

Expiration Date

06/30/1990

State

IL

Specialty/Qualifier

Advanced General Dentistry

Ever Disciplined

N

LastModifiedDate

10/12/2005