JEEVAKA W YAPA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000553

License Status

NOT RENEWED

Business

First Name

JEEVAKA

Middle

Last Name

YAPA

Business Name

JEEVAKA W YAPA

Original Issue Date

06/21/1991

Effective Date

06/21/1991

Expiration Date

06/30/1992

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/12/2005