GUSTAVO B BORGES - Dentist License in Illinois | # 018000911

GUSTAVO B BORGES

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000911

License Status

NOT RENEWED

Business

N

First Name

GUSTAVO

Middle

B

Last Name

BORGES

Business Name

GUSTAVO B BORGES

Original Issue Date

11/20/1995

Effective Date

11/20/1995

Expiration Date

06/30/1997

State

IL

Specialty/Qualifier

Advanced General Dentistry

Ever Disciplined

N

LastModifiedDate

10/12/2005