AMMIE LUCERO CHINCHILLA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019034006

License Status

NOT RENEWED

Business

Title

DDS

First Name

AMMIE

Middle

LUCERO

Last Name

CHINCHILLA

Business Name

AMMIE LUCERO CHINCHILLA DDS

Original Issue Date

11/16/2022

Effective Date

11/16/2022

Expiration Date

09/30/2024

City

CHICAGO

State

Zip

60620

County

COOK

Ever Disciplined

LastModifiedDate

02/04/2025