MARILIA JUCA MONTERO-FAYAD DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000529

License Status

ACTIVE

Business

First Name

MARILIA

Middle

JUCA

Last Name

MONTERO-FAYAD

Suffix

DDS

Business Name

MARILIA JUCA MONTERO-FAYAD DDS

Original Issue Date

08/23/2001

Effective Date

05/08/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Conscious Sedation, Parenteral

Ever Disciplined

LastModifiedDate

05/08/2024