ANA MELISSA LOPEZ Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000660

License Status

NOT RENEWED

Business

First Name

ANA

Middle

MELISSA

Last Name

LOPEZ

Business Name

ANA MELISSA LOPEZ

Original Issue Date

08/23/2005

Effective Date

07/03/2012

Expiration Date

09/30/2015

City

WINNETKA

State

Zip

60093

County

COOK

Specialty/Qualifier

Conscious Sedation, Parenteral

Ever Disciplined

LastModifiedDate

02/08/2016