ANDREA LACAYO DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000593

License Status

NOT RENEWED

Business

First Name

ANDREA

Last Name

LACAYO

Suffix

DDS

Business Name

ANDREA LACAYO DDS

Original Issue Date

09/17/1991

Effective Date

09/17/1991

Expiration Date

09/30/1993

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Pediatric Dentist

Ever Disciplined

LastModifiedDate

07/30/2018