ANA MELISSA LOPEZ - Dentist License in Illinois | # 019025964

ANA MELISSA LOPEZ

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019025964

License Status

NOT RENEWED

Business

N

First Name

ANA

Middle

MELISSA

Last Name

LOPEZ

Business Name

ANA MELISSA LOPEZ

Original Issue Date

09/11/2002

Effective Date

07/03/2012

Expiration Date

09/30/2015

State

IL

Ever Disciplined

N

LastModifiedDate

06/06/2025