JOSE MANUEL BLANCO - Dentist License in Illinois | # 019016410

JOSE MANUEL BLANCO

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016410

License Status

NOT RENEWED

Business

N

First Name

JOSE MANUEL

Last Name

BLANCO

Business Name

JOSE MANUEL BLANCO

Original Issue Date

07/11/1978

Effective Date

10/01/2018

Expiration Date

01/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

05/09/2022