Anne Derderian
InactiveIllinois license 019020039
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 019020039
- Status
- Inactive
- First issued
- April 21, 1986
- Expired
- September 30, 1990
- License holder
- Anne Derderian
- Entity type
- Individual
Classifications
- Licensed Dentist (Dental) Dental
More from the license record
- Current term began
- 04/21/1986
Contact
Corona, NY 11368
New York County