EDWARD MASCORRO Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019018387

License Status

NOT RENEWED

Business

First Name

EDWARD

Last Name

MASCORRO

Business Name

EDWARD MASCORRO

Original Issue Date

10/05/1982

Effective Date

08/02/2012

Expiration Date

09/30/2015

City

CHICAGO

State

Zip

60632

County

COOK

Ever Disciplined

LastModifiedDate

02/08/2016