OSMAR RODRIGUEZ SOBERON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****10

License Status

NOT RENEWED

Business

Title

DDS

First Name

OSMAR

Last Name

RODRIGUEZ SOBERON

Business Name

OSMAR RODRIGUEZ SOBERON DDS

Original Issue Date

10/26/1999

Effective Date

10/26/1999

Expiration Date

09/30/2000

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005