CECILIA PONIENTE DECILLO Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012486

License Status

ACTIVE

Business

First Name

CECILIA

Middle

PONIENTE

Last Name

DECILLO

Business Name

CECILIA PONIENTE DECILLO

Original Issue Date

06/20/2008

Effective Date

09/15/2024

Expiration Date

09/30/2027

City

LIBERTYVILLE

State

Zip

60048

Ever Disciplined

LastModifiedDate

09/15/2024