WANDA I CRUZ-GONZALEZ DMD Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001370

License Status

EXPIRED

Business

First Name

WANDA

Middle

Last Name

CRUZ-GONZALEZ

Suffix

DMD

Business Name

WANDA I CRUZ-GONZALEZ DMD

Original Issue Date

08/08/2002

Effective Date

08/08/2002

Expiration Date

06/30/2004

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/12/2005