SILVANA LUCIA GONZALEZ-MANZUR DDS Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001471

License Status

EXPIRED

Business

First Name

SILVANA

Middle

LUCIA

Last Name

GONZALEZ-MANZUR

Suffix

DDS

Business Name

SILVANA LUCIA GONZALEZ-MANZUR DDS

Original Issue Date

07/02/2004

Effective Date

07/02/2004

Expiration Date

05/30/2007

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Orthodontics

Ever Disciplined

LastModifiedDate

06/06/2007