VICTOR M PENAHERRERA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000585

License Status

NOT RENEWED

Business

First Name

VICTOR

Middle

Last Name

PENAHERRERA

Business Name

VICTOR M PENAHERRERA

Original Issue Date

08/16/1991

Effective Date

08/16/1991

Expiration Date

06/30/1993

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Orthodontics

Ever Disciplined

LastModifiedDate

10/12/2005