CONSTANZA E FERNANDEZ GONZALEZ DDS - Dentist License in Illinois | # 136000221

CONSTANZA E FERNANDEZ GONZALEZ DDS

Business Entity

EXPIRED

License Type

Dentist

Description

RESTRICTED FACULTY LICENSE

License Number

136000221

License Status

EXPIRED

Business

N

Title

DDS

First Name

CONSTANZA

Middle

E

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

State

IL

Ever Disciplined

N

LastModifiedDate

11/19/2020