JULIA REGINA PESAVENTO Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019019656

License Status

ACTIVE

Business

First Name

JULIA REGINA

Last Name

PESAVENTO

Business Name

JULIA REGINA PESAVENTO

Original Issue Date

07/24/1985

Effective Date

05/08/2024

Expiration Date

09/30/2027

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/08/2024