EMILIYA DIMITROVA TANEVA DDS - Dentist License in Illinois | # 018001794

EMILIYA DIMITROVA TANEVA DDS

Business Entity

INACTIVE

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001794

License Status

INACTIVE

Business

N

First Name

EMILIYA

Middle

DIMITROVA

Last Name

TANEVA

Suffix

DDS

Business Name

EMILIYA DIMITROVA TANEVA DDS

Original Issue Date

03/30/2011

Effective Date

08/14/2011

Expiration Date

05/06/2014

State

IL

Specialty/Qualifier

Orthodontics

Ever Disciplined

N

LastModifiedDate

03/30/2011