ISABELLA TERRASSA REYES - Dentist License in Illinois | # 018001845

ISABELLA TERRASSA REYES

Business Entity

CANCELLED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001845

License Status

CANCELLED

Business

N

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

State

IL

Specialty/Qualifier

General Practice Residency

Ever Disciplined

N

LastModifiedDate

06/05/2012