JUAN G MESA DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019025977

License Status

INACTIVE

Business

First Name

JUAN

Middle

Last Name

MESA

Suffix

DDS

Business Name

JUAN G MESA DDS

Original Issue Date

09/20/2002

Effective Date

09/18/2018

Expiration Date

12/31/2021

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

09/18/2021

Case Number

2009012291

Action

Fine

Discipline Start Date

11/24/2010

Discipline Reason

due to billing irregularities on a patient.