MIGUEL PALACIOS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****05

License Status

NOT RENEWED

Business

First Name

MIGUEL

Last Name

PALACIOS

Suffix

DDS

Business Name

MIGUEL PALACIOS DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/2004

City

BERWYN

State

Zip

60402

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005