LETICIA MARIA CUELLAR DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018002216

License Status

ACTIVE

Business

Title

DMD

First Name

LETICIA

Middle

MARIA

Last Name

CUELLAR

Business Name

LETICIA MARIA CUELLAR DMD

Original Issue Date

06/29/2022

Effective Date

05/29/2025

Expiration Date

06/30/2026

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

06/29/2022