J ROQUE DEFREITAS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019023293

License Status

NOT RENEWED

Business

First Name

J ROQUE

Last Name

DEFREITAS

Suffix

DDS

Business Name

J ROQUE DEFREITAS DDS

Original Issue Date

08/03/1993

Effective Date

08/03/1993

Expiration Date

09/30/1994

City

RIVERSIDE

State

Zip

60546

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005