EMILY PARK DRAHOS - Dentist License in Illinois | # 018001262

EMILY PARK DRAHOS

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001262

License Status

NOT RENEWED

Business

N

First Name

EMILY

Middle

PARK

Last Name

DRAHOS

Business Name

EMILY PARK DRAHOS

Original Issue Date

05/09/2001

Effective Date

05/09/2001

Expiration Date

06/30/2002

State

IL

Specialty/Qualifier

General Practice Residency

Ever Disciplined

N

LastModifiedDate

10/12/2005