ROBERTO ANTONIO DEPAZ Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019018934

License Status

NOT RENEWED

Business

First Name

ROBERTO ANTONIO

Last Name

DEPAZ

Business Name

ROBERTO ANTONIO DEPAZ

Original Issue Date

12/23/1983

Effective Date

10/01/2006

Expiration Date

09/30/2009

City

CHICAGO HEIGHTS

State

Zip

60411

County

COOK

Ever Disciplined

LastModifiedDate

01/08/2010