LOURDES ELENTO BALQUIEDRA DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015772

License Status

NOT RENEWED

Business

First Name

LOURDES ELENTO

Last Name

BALQUIEDRA

Suffix

DMD

Business Name

LOURDES ELENTO BALQUIEDRA DMD

Original Issue Date

12/21/1976

Effective Date

08/13/2012

Expiration Date

09/30/2015

City

CHICAGO

State

Zip

60632

County

COOK

Ever Disciplined

LastModifiedDate

02/08/2016