EVA J MANDES DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019027313

License Status

NOT RENEWED

Business

First Name

EVA

Middle

Last Name

MANDES

Suffix

DMD

Business Name

EVA J MANDES DMD

Original Issue Date

05/10/2007

Effective Date

10/13/2009

Expiration Date

09/30/2012

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2012