ALBERT LEOPOLD PORRECA JR DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015392

License Status

NOT RENEWED

Business

First Name

ALBERT LEOPOLD

Last Name

PORRECA JR

Suffix

DDS

Business Name

ALBERT LEOPOLD PORRECA JR DDS

Original Issue Date

01/06/1976

Effective Date

01/06/1976

City

WAUKEGAN

State

Zip

60085

County

LAKE

Ever Disciplined

LastModifiedDate

10/12/2005