ERIK QUINTANA Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018002194

License Status

EXPIRED

Business

First Name

ERIK

Last Name

QUINTANA

Business Name

ERIK QUINTANA

Original Issue Date

06/28/2021

Effective Date

07/01/2021

Expiration Date

06/30/2025

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

10/29/2025