EMMANUELA MENA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019027197

License Status

NOT RENEWED

Business

First Name

EMMANUELA

Last Name

MENA

Suffix

DDS

Business Name

EMMANUELA MENA DDS

Original Issue Date

08/23/2006

Effective Date

08/23/2006

Expiration Date

09/30/2009

City

MANTENO

State

Zip

60950

County

KANKAKEE

Ever Disciplined

LastModifiedDate

01/08/2010