BETSY R MOSQUERA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

RESTRICTED FACULTY LICENSE

License Number

136000001

License Status

NOT RENEWED

Business

First Name

BETSY

Middle

Last Name

MOSQUERA

Business Name

BETSY R MOSQUERA

Original Issue Date

09/01/1997

Effective Date

09/01/1997

Expiration Date

08/31/2002

City

GLENDALE HEIGHTS

State

Zip

60139

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/13/2005