AMMIE LUCERO CHINCHILLA DDS - Dentist License in Illinois | # 019034006

AMMIE LUCERO CHINCHILLA DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019034006

License Status

NOT RENEWED

Business

N

Title

DDS

First Name

AMMIE

Middle

LUCERO

Last Name

CHINCHILLA

Business Name

AMMIE LUCERO CHINCHILLA DDS

Original Issue Date

11/16/2022

Effective Date

11/16/2022

Expiration Date

09/30/2024

State

IL

Ever Disciplined

N

LastModifiedDate

02/04/2025