CRAIG MANUEL JOS E LA ROSA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000751

License Status

NOT RENEWED

Business

First Name

CRAIG MANUEL JOS

Middle

Last Name

LA ROSA

Business Name

CRAIG MANUEL JOS E LA ROSA

Original Issue Date

02/03/1994

Effective Date

02/03/1994

Expiration Date

09/14/1999

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

10/12/2005