TINA MARIA JOSE DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019031782

License Status

NOT RENEWED

Business

Title

DMD

First Name

TINA

Middle

MARIA

Last Name

JOSE

Business Name

TINA MARIA JOSE DMD

Original Issue Date

07/09/2018

Effective Date

07/09/2018

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60634

County

COOK

Ever Disciplined

LastModifiedDate

05/09/2022