LORENZO J MODESTE DDS - Dentist License in Illinois | # 019022641

LORENZO J MODESTE DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019022641

License Status

NOT RENEWED

Business

N

First Name

LORENZO J

Last Name

MODESTE

Suffix

DDS

Business Name

LORENZO J MODESTE DDS

Original Issue Date

10/04/1991

Effective Date

10/04/1991

Expiration Date

09/30/1996

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005