LOURDES E DILAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000577

License Status

NOT RENEWED

Business

First Name

LOURDES E

Last Name

DILAN

Business Name

LOURDES E DILAN

Original Issue Date

07/16/1991

Effective Date

07/16/1991

Expiration Date

06/30/1992

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/12/2005