DAVID GAETANO CANALE - Dentist License in Illinois | # 018001072

DAVID GAETANO CANALE

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001072

License Status

NOT RENEWED

Business

N

First Name

DAVID GAETANO

Last Name

CANALE

Business Name

DAVID GAETANO CANALE

Original Issue Date

08/20/1997

Effective Date

08/20/1997

Expiration Date

06/30/1998

State

IL

Specialty/Qualifier

General Practice Residency

Ever Disciplined

N

LastModifiedDate

10/12/2005