PATRICIO HERDOIZA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019017151

License Status

NOT RENEWED

Business

First Name

PATRICIO

Last Name

HERDOIZA

Business Name

PATRICIO HERDOIZA

Original Issue Date

06/01/1980

Effective Date

06/01/1980

Expiration Date

09/30/1984

City

NORTH CHICAGO

State

Zip

60064

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005