Edgar Ivan Avila Lopez
ActiveIllinois license 020016772
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 020016772
- Status
- Active
- First issued
- October 18, 2019
- Expires
- September 30, 2027
- License holder
- Edgar Ivan Avila Lopez
- Entity type
- Individual
Classifications
- Registered Dental Hygienist Dental
More from the license record
- Current term began
- 09/25/2024
Contact
Kenosha, WI 53140