JOSE MANUEL MARISCAL DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****03

License Status

ACTIVE

Business

Title

DDS

First Name

JOSE

Middle

MANUEL

Last Name

MARISCAL

Business Name

JOSE MANUEL MARISCAL DDS

Original Issue Date

05/12/2009

Effective Date

05/02/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/02/2024