JORGE ENRIQUE MOSQUERA CASTRILLON Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021003081

License Status

ACTIVE

Business

First Name

JORGE

Middle

ENRIQUE

Last Name

MOSQUERA CASTRILLON

Business Name

JORGE ENRIQUE MOSQUERA CASTRILLON

Original Issue Date

11/09/2020

Effective Date

05/05/2024

Expiration Date

09/30/2027

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Specialty/Qualifier

PROSTHODONTICS

Ever Disciplined

LastModifiedDate

05/05/2024