THERESA ANNE MATEGRANO Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002966

License Status

NOT RENEWED

Business

First Name

THERESA ANNE

Last Name

MATEGRANO

Business Name

THERESA ANNE MATEGRANO

Original Issue Date

07/13/1976

Effective Date

07/13/1976

Expiration Date

09/30/2004

City

DEKALB

State

Zip

60115

County

DEKALB

Ever Disciplined

LastModifiedDate

10/17/2005