TEOFILO MANALOTO NAYAN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****30

License Status

NOT RENEWED

Business

First Name

TEOFILO MANALOTO

Last Name

NAYAN

Suffix

DDS

Business Name

TEOFILO MANALOTO NAYAN DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/2004

City

CICERO

State

Zip

60650

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

10/17/2005