CORAZON SUSANA VILLANUEVA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020004208

License Status

NOT RENEWED

Business

First Name

CORAZON SUSANA

Last Name

VILLANUEVA

Business Name

CORAZON SUSANA VILLANUEVA

Original Issue Date

07/15/1980

Effective Date

07/15/1980

Expiration Date

09/30/1988

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Ever Disciplined

LastModifiedDate

10/12/2005