ELIANE FOSSATTI GONCALVES DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019032815

License Status

NOT RENEWED

Business

Title

DDS

First Name

ELIANE

Last Name

FOSSATTI GONCALVES

Business Name

ELIANE FOSSATTI GONCALVES DDS

Original Issue Date

07/17/2020

Effective Date

10/04/2021

Expiration Date

09/30/2024

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

02/04/2025