EMMANUELA MENA DDS - Dentist License in Illinois | # 019027197

EMMANUELA MENA DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019027197

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

01/08/2010