AMANDA BEATRIZ RODRIGUEZ BETANCOURT Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018002231

License Status

INACTIVE

Business

First Name

AMANDA

Middle

BEATRIZ

Last Name

RODRIGUEZ BETANCOURT

Business Name

AMANDA BEATRIZ RODRIGUEZ BETANCOURT

Original Issue Date

06/09/2023

Effective Date

07/01/2023

Expiration Date

05/15/2026

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Periodontics

Ever Disciplined

LastModifiedDate

03/24/2026