MIGUEL PALACIOS DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014757

License Status

INACTIVE

Business

First Name

MIGUEL

Last Name

PALACIOS

Suffix

DDS

Business Name

MIGUEL PALACIOS DDS

Original Issue Date

12/17/1973

Effective Date

12/17/1973

Expiration Date

09/30/2004

City

BERWYN

State

Zip

60402

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005