MELISSA JOY PATENIO Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000763

License Status

INACTIVE

Business

First Name

MELISSA

Middle

JOY

Last Name

PATENIO

Business Name

MELISSA JOY PATENIO

Original Issue Date

08/13/2009

Effective Date

08/14/2015

Expiration Date

09/30/2018

City

GURNEE

State

Zip

60031

County

LAKE

Specialty/Qualifier

CONSCIOUS SEDATION, PARENTERAL

Ever Disciplined

LastModifiedDate

06/07/2018