MARTHA P VILLALOBOS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000619

License Status

NOT RENEWED

Business

First Name

MARTHA

Middle

Last Name

VILLALOBOS

Business Name

MARTHA P VILLALOBOS

Original Issue Date

06/24/1992

Effective Date

06/24/1992

Expiration Date

06/30/1994

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Periodontics

Ever Disciplined

LastModifiedDate

10/12/2005