JUDIE M VILLARIAS-COTEY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****59

License Status

NOT RENEWED

Business

First Name

JUDIE

Middle

Last Name

VILLARIAS-COTEY

Business Name

JUDIE M VILLARIAS-COTEY

Original Issue Date

08/21/1992

Effective Date

08/21/1992

Expiration Date

09/30/1998

City

MORRISON

State

Zip

61270

County

WHITESIDE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005