LUIS R CUESTA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015775

License Status

NOT RENEWED

Business

First Name

LUIS R

Last Name

CUESTA

Suffix

DDS

Business Name

LUIS R CUESTA DDS

Original Issue Date

12/21/1976

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

CHICAGO

State

Zip

60623

County

COOK

Ever Disciplined

LastModifiedDate

11/08/2006