TRISCHA RENE TUESTA DMD Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001633

License Status

INACTIVE

Business

First Name

TRISCHA

Middle

RENE

Last Name

TUESTA

Suffix

DMD

Business Name

TRISCHA RENE TUESTA DMD

Original Issue Date

06/26/2007

Effective Date

07/01/2007

Expiration Date

06/30/2009

City

ALTON

State

Zip

62002

County

MADISON

Specialty/Qualifier

Advanced General Dentistry

Ever Disciplined

LastModifiedDate

06/26/2007