JOHN R ULLOA DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019022738

License Status

NOT RENEWED

Business

First Name

JOHN R

Last Name

ULLOA

Suffix

DMD

Business Name

JOHN R ULLOA DMD

Original Issue Date

12/30/1991

Effective Date

12/30/1991

Expiration Date

09/30/1994

City

DEKALB

State

Zip

60115

County

DEKALB

Ever Disciplined

LastModifiedDate

10/12/2005