EVA TERESA FORTSAS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019025630

License Status

ACTIVE

Business

First Name

EVA

Middle

TERESA

Last Name

FORTSAS

Business Name

EVA TERESA FORTSAS

Original Issue Date

08/02/2001

Effective Date

09/10/2024

Expiration Date

09/30/2027

City

WAUKEGAN

State

Zip

60085

County

LAKE

Ever Disciplined

LastModifiedDate

09/10/2024