JUAN A DE OBESO Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000427

License Status

NOT RENEWED

Business

First Name

JUAN

Middle

Last Name

DE OBESO

Business Name

JUAN A DE OBESO

Original Issue Date

05/31/1990

Effective Date

05/31/1990

Expiration Date

06/30/1992

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Orthodontics

Ever Disciplined

LastModifiedDate

10/12/2005