BONITA R BRANCH-YAPA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019022689

License Status

NOT RENEWED

Business

First Name

BONITA R

Last Name

BRANCH-YAPA

Suffix

DDS

Business Name

BONITA R BRANCH-YAPA DDS

Original Issue Date

10/18/1991

Effective Date

10/18/1991

Expiration Date

09/30/1992

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005