DEIDRA THERESA RONDENO Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000953

License Status

NOT RENEWED

Business

First Name

DEIDRA THERESA

Last Name

RONDENO

Business Name

DEIDRA THERESA RONDENO

Original Issue Date

07/19/1996

Effective Date

07/19/1996

Expiration Date

06/30/1997

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Advanced General Dentistry

Ever Disciplined

LastModifiedDate

10/12/2005