GUILLERMO ARIZONA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****08

License Status

NOT RENEWED

Business

First Name

GUILLERMO

Last Name

ARIZONA

Suffix

DDS

Business Name

GUILLERMO ARIZONA DDS

Original Issue Date

05/13/1996

Effective Date

05/13/1996

Expiration Date

09/30/2000

City

GURNEE

State

Zip

60031

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005