ALEX E DESTEFANO DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012198

License Status

INACTIVE

Business

First Name

ALEX E

Last Name

DESTEFANO

Suffix

DDS

Business Name

ALEX E DESTEFANO DDS

Original Issue Date

01/15/1963

Effective Date

10/01/2006

Expiration Date

09/30/2009

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Ever Disciplined

LastModifiedDate

06/04/2009