CARMEN DENISE CARABALLO Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020015042

License Status

NOT RENEWED

Business

First Name

CARMEN

Middle

DENISE

Last Name

CARABALLO

Business Name

CARMEN DENISE CARABALLO

Original Issue Date

06/16/2015

Effective Date

06/16/2015

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

10/31/2018