AMMIE LUCERO CHINCHILLA DDS Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018002193

License Status

EXPIRED

Business

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

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Advanced General Dentistry

Ever Disciplined

LastModifiedDate

01/08/2025