ALBERTO JOSE AMBARD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001263

License Status

NOT RENEWED

Business

First Name

ALBERTO

Middle

JOSE

Last Name

AMBARD

Business Name

ALBERTO JOSE AMBARD

Original Issue Date

05/14/2001

Effective Date

05/14/2001

Expiration Date

06/30/2002

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Maxillofacial Prosthetics

Ever Disciplined

LastModifiedDate

10/12/2005