JUAN CARLOS CONTRERAS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

RESTRICTED FACULTY LICENSE

License Number

136000053

License Status

NOT RENEWED

Business

First Name

JUAN

Middle

CARLOS

Last Name

CONTRERAS

Suffix

DDS

Business Name

JUAN CARLOS CONTRERAS DDS

Original Issue Date

09/24/1998

Effective Date

09/24/1998

Expiration Date

09/01/2002

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

10/13/2005