ANGIE SAMUEL DDS Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001681

License Status

EXPIRED

Business

First Name

ANGIE

Last Name

SAMUEL

Suffix

DDS

Business Name

ANGIE SAMUEL DDS

Original Issue Date

05/19/2008

Effective Date

07/01/2008

Expiration Date

06/30/2009

City

GURNEE

State

Zip

60031

County

LAKE

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

07/15/2009