ANDREA LACAYO DDS - Dentist License in Illinois | # 019022928

ANDREA LACAYO DDS

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019022928

License Status

ACTIVE

Business

N

First Name

ANDREA

Last Name

LACAYO

Suffix

DDS

Business Name

ANDREA LACAYO DDS

Original Issue Date

08/05/1992

Effective Date

09/06/2024

Expiration Date

09/30/2027

State

IL

Ever Disciplined

Y

LastModifiedDate

09/06/2024

Case Number

2019007935

Action

Suspension

Discipline Start Date

11/04/2019

Discipline End Date

11/21/2019

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 11/25/2019.