GREGORY J DEFELICE - Dentist License in Illinois | # 018001340

GREGORY J DEFELICE

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001340

License Status

EXPIRED

Business

N

First Name

GREGORY

Middle

J

Last Name

DEFELICE

Business Name

GREGORY J DEFELICE

Original Issue Date

06/05/2002

Effective Date

06/05/2002

Expiration Date

05/30/2005

State

IL

Specialty/Qualifier

Orthodontics

Ever Disciplined

N

LastModifiedDate

10/12/2005