BRUNILDA M ORTIZ-GIUILIANI Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001720

License Status

EXPIRED

Business

First Name

BRUNILDA

Middle

Last Name

ORTIZ-GIUILIANI

Business Name

BRUNILDA M ORTIZ-GIUILIANI

Original Issue Date

04/30/2009

Effective Date

08/15/2009

Expiration Date

05/30/2012

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Orthodontics

Ever Disciplined

LastModifiedDate

07/02/2012