JOSE AUGUSTA GIL DMD Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001855

License Status

EXPIRED

Business

Title

DMD

First Name

JOSE

Middle

AUGUSTA

Last Name

GIL

Business Name

JOSE AUGUSTA GIL DMD

Original Issue Date

07/18/2012

Effective Date

07/18/2012

Expiration Date

06/30/2013

City

PEORIA

State

Zip

61603

County

PEORIA

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/07/2013