ISABELLA TERRASSA REYES Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001845

License Status

CANCELLED

Business

First Name

ISABELLA

Last Name

TERRASSA REYES

Business Name

ISABELLA TERRASSA REYES

Original Issue Date

06/22/2012

Effective Date

06/22/2012

Expiration Date

06/23/2013

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

06/05/2012