AGNES T HERNANDEZ - Dentist License in Illinois | # 019021016

AGNES T HERNANDEZ

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019021016

License Status

INACTIVE

Business

N

First Name

AGNES T

Last Name

HERNANDEZ

Business Name

AGNES T HERNANDEZ

Original Issue Date

02/12/1988

Effective Date

06/25/2012

Expiration Date

09/30/2015

State

IL

Ever Disciplined

N

LastModifiedDate

06/08/2015