RAUL FAVELA DDS - Dentist License in Illinois | # 019025610

RAUL FAVELA DDS

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019025610

License Status

INACTIVE

Business

N

First Name

RAUL

Last Name

FAVELA

Suffix

DDS

Business Name

RAUL FAVELA DDS

Original Issue Date

08/02/2001

Effective Date

08/02/2001

Expiration Date

09/30/2002

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005