REBECCA J FORNERO Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019021545

License Status

NOT RENEWED

Business

First Name

REBECCA J

Last Name

FORNERO

Business Name

REBECCA J FORNERO

Original Issue Date

04/09/1989

Effective Date

07/16/2018

Expiration Date

01/31/2022

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

05/09/2022