FRED J DE LA COTERA DDS - Dentist License in Illinois | # 021001570

FRED J DE LA COTERA DDS

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021001570

License Status

ACTIVE

Business

N

First Name

FRED J

Last Name

DE LA COTERA

Suffix

DDS

Business Name

FRED J DE LA COTERA DDS

Original Issue Date

09/27/1991

Effective Date

08/08/2024

Expiration Date

09/30/2027

State

IL

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

N

LastModifiedDate

08/08/2024