PATRICIA VALENZUELA - Dentist License in Illinois | # 018000608

PATRICIA VALENZUELA

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000608

License Status

NOT RENEWED

Business

N

First Name

PATRICIA

Last Name

VALENZUELA

Business Name

PATRICIA VALENZUELA

Original Issue Date

05/29/1992

Effective Date

05/29/1992

Expiration Date

06/30/1994

State

IL

Specialty/Qualifier

Orthodontics

Ever Disciplined

N

LastModifiedDate

10/12/2005