F JERALD NUSTRA DDS - Dentist License in Illinois | # 019013658

F JERALD NUSTRA DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013658

License Status

NOT RENEWED

Business

N

First Name

F JERALD

Last Name

NUSTRA

Suffix

DDS

Business Name

F JERALD NUSTRA DDS

Original Issue Date

07/14/1969

Effective Date

07/14/2009

Expiration Date

09/30/2012

State

IL

Ever Disciplined

N

LastModifiedDate

11/14/2012