ANDREA LACAYO DDS - Dentist License in Illinois | # 018000593

ANDREA LACAYO DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000593

License Status

NOT RENEWED

Business

N

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

State

IL

Specialty/Qualifier

Pediatric Dentist

Ever Disciplined

N

LastModifiedDate

07/30/2018