NNENNA N EBODA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000796

License Status

NOT RENEWED

Business

First Name

NNENNA

Middle

Last Name

EBODA

Business Name

NNENNA N EBODA

Original Issue Date

07/18/1994

Effective Date

07/18/1994

Expiration Date

06/30/1995

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/12/2005