JORGE AMORIN DMD Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

RESTRICTED FACULTY LICENSE

License Number

136000112

License Status

EXPIRED

Business

First Name

JORGE

Last Name

AMORIN

Suffix

DMD

Business Name

JORGE AMORIN DMD

Original Issue Date

07/01/2005

Effective Date

07/31/2006

Expiration Date

06/30/2007

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

07/03/2007