WALLY ALESSANDRO GARCIA FULLE Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019032964

License Status

INACTIVE

Business

First Name

WALLY ALESSANDRO

Last Name

GARCIA FULLE

Business Name

WALLY ALESSANDRO GARCIA FULLE

Original Issue Date

12/09/2020

Effective Date

12/09/2020

Expiration Date

12/31/2021

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2021