JEEVAKA W YAPA - Dentist License in Illinois | # 018000553

JEEVAKA W YAPA

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000553

License Status

NOT RENEWED

Business

N

First Name

JEEVAKA

Middle

W

Last Name

YAPA

Business Name

JEEVAKA W YAPA

Original Issue Date

06/21/1991

Effective Date

06/21/1991

Expiration Date

06/30/1992

State

IL

Specialty/Qualifier

General Practice Residency

Ever Disciplined

N

LastModifiedDate

10/12/2005