CONSTANZA E FERNANDEZ GONZALEZ DDS Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

RESTRICTED FACULTY LICENSE

License Number

136000221

License Status

EXPIRED

Business

Title

DDS

First Name

CONSTANZA

Middle

Last Name

FERNANDEZ GONZALEZ

Business Name

CONSTANZA E FERNANDEZ GONZALEZ DDS

Original Issue Date

08/29/2017

Effective Date

08/29/2017

Expiration Date

08/29/2020

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/19/2020