LOURDES E DILAN - Dentist License in Illinois | # 018000577

LOURDES E DILAN

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000577

License Status

NOT RENEWED

Business

N

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

State

IL

Specialty/Qualifier

General Practice Residency

Ever Disciplined

N

LastModifiedDate

10/12/2005