SANDRA MIRANDA - Dentist License in Illinois | # 020010190

SANDRA MIRANDA

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010190

License Status

NOT RENEWED

Business

N

First Name

SANDRA

Last Name

MIRANDA

Business Name

SANDRA MIRANDA

Original Issue Date

10/04/2001

Effective Date

10/01/2009

Expiration Date

09/30/2012

State

IL

Ever Disciplined

N

LastModifiedDate

11/14/2012