ALLAN J LIBUNAO DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000559

License Status

INACTIVE

Business

First Name

ALLAN J

Last Name

LIBUNAO

Suffix

DDS

Business Name

ALLAN J LIBUNAO DDS

Original Issue Date

06/21/2002

Effective Date

06/21/2002

Expiration Date

09/30/2004

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Specialty/Qualifier

Conscious Sedation, Parenteral

Ever Disciplined

LastModifiedDate

10/17/2005