REBECCA JANE TESTA Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000760

License Status

INACTIVE

Business

First Name

REBECCA

Middle

JANE

Last Name

TESTA

Business Name

REBECCA JANE TESTA

Original Issue Date

08/05/2009

Effective Date

08/05/2009

Expiration Date

09/30/2012

City

CHICAGO

State

Zip

60607

County

COOK

Specialty/Qualifier

CONSCIOUS SEDATION, PARENTERAL

Ever Disciplined

LastModifiedDate

06/06/2012