INGRID LAUMA PRIEDE DDS - Dentist License in Illinois | # 018000940

INGRID LAUMA PRIEDE DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000940

License Status

NOT RENEWED

Business

N

First Name

INGRID LAUMA

Last Name

PRIEDE

Suffix

DDS

Business Name

INGRID LAUMA PRIEDE DDS

Original Issue Date

07/16/1996

Effective Date

07/16/1996

Expiration Date

06/30/1997

State

IL

Specialty/Qualifier

Advanced General Dentistry

Ever Disciplined

N

LastModifiedDate

10/12/2005