JOSE A DE LA GUERRA Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018002175

License Status

EXPIRED

Business

First Name

JOSE

Middle

Last Name

DE LA GUERRA

Business Name

JOSE A DE LA GUERRA

Original Issue Date

06/03/2021

Effective Date

07/01/2021

Expiration Date

06/30/2022

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

11/28/2022