MARIA ROMANA ROMAN Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001332

License Status

EXPIRED

Business

First Name

MARIA

Middle

ROMANA

Last Name

ROMAN

Business Name

MARIA ROMANA ROMAN

Original Issue Date

05/06/2002

Effective Date

05/06/2002

Expiration Date

06/30/2003

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/12/2005