MANUEL A VALERIN DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000633

License Status

ACTIVE

Business

First Name

MANUEL

Middle

Last Name

VALERIN

Suffix

DDS

Business Name

MANUEL A VALERIN DDS

Original Issue Date

10/15/2004

Effective Date

06/04/2024

Expiration Date

09/30/2027

City

PEORIA

State

Zip

61614

County

PEORIA

Specialty/Qualifier

Conscious Sedation, Parenteral

Ever Disciplined

LastModifiedDate

06/04/2024