MARIA GABRIELA RODRIGUEZ MANTILLA DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019035401

License Status

ACTIVE

Business

Title

DDS

First Name

MARIA

Middle

GABRIELA

Last Name

RODRIGUEZ MANTILLA

Business Name

MARIA GABRIELA RODRIGUEZ MANTILLA DDS

Original Issue Date

07/24/2024

Effective Date

07/24/2024

Expiration Date

09/30/2027

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

06/10/2024