WING DJAYA - Dentist License in Illinois | # 018001000

WING DJAYA

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001000

License Status

NOT RENEWED

Business

N

First Name

WING

Last Name

DJAYA

Business Name

WING DJAYA

Original Issue Date

11/18/1996

Effective Date

11/18/1996

Expiration Date

06/30/1997

State

IL

Specialty/Qualifier

General Practice Residency

Ever Disciplined

N

LastModifiedDate

10/12/2005