ALFREDO C AZCONA DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015181

License Status

INACTIVE

Business

First Name

ALFREDO C

Last Name

AZCONA

Suffix

DDS

Business Name

ALFREDO C AZCONA DDS

Original Issue Date

07/10/1975

Effective Date

07/10/1975

Expiration Date

09/30/1996

City

WILLOWBROOK

State

Zip

60521

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/12/2005