MELANIE M PEREA Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001430

License Status

EXPIRED

Business

First Name

MELANIE

Middle

Last Name

PEREA

Business Name

MELANIE M PEREA

Original Issue Date

08/15/2003

Effective Date

08/15/2003

Expiration Date

06/30/2005

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatric Dentist

Ever Disciplined

LastModifiedDate

07/30/2018