DAVID RODNEY TELLES DDS Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001632

License Status

EXPIRED

Business

First Name

DAVID

Middle

RODNEY

Last Name

TELLES

Suffix

DDS

Business Name

DAVID RODNEY TELLES DDS

Original Issue Date

06/26/2007

Effective Date

07/01/2007

Expiration Date

06/30/2008

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

07/31/2008