CONSTANZA E FERNANDEZ GONZALEZ DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****09

License Status

NOT RENEWED

Business

Title

DDS

First Name

CONSTANZA

Middle

Last Name

FERNANDEZ GONZALEZ

Business Name

CONSTANZA E FERNANDEZ GONZALEZ DDS

Original Issue Date

10/17/2017

Effective Date

10/17/2017

Expiration Date

09/30/2018

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018