AMMIE LUCERO CHINCHILLA DDS - Dentist License in Illinois | # 018002193

AMMIE LUCERO CHINCHILLA DDS

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018002193

License Status

EXPIRED

Business

N

Title

DDS

First Name

AMMIE

Middle

LUCERO

Last Name

CHINCHILLA

Business Name

AMMIE LUCERO CHINCHILLA DDS

Original Issue Date

06/28/2021

Effective Date

07/01/2021

Expiration Date

06/30/2023

State

IL

Specialty/Qualifier

Advanced General Dentistry

Ever Disciplined

N

LastModifiedDate

01/08/2025