MARIA ISABEL BUSTAMANTE DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026589

License Status

NOT RENEWED

Business

First Name

MARIA

Middle

ISABEL

Last Name

BUSTAMANTE

Suffix

DMD

Business Name

MARIA ISABEL BUSTAMANTE DMD

Original Issue Date

09/22/2004

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2007