LAWRENCE JOSEPH GINESTRA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019011599

License Status

NOT RENEWED

Business

First Name

LAWRENCE JOSEPH

Last Name

GINESTRA

Business Name

LAWRENCE JOSEPH GINESTRA

Original Issue Date

09/09/1959

Effective Date

09/09/1959

Expiration Date

09/30/2002

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005