MIRYAM NATHALIA GARCIA DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****11

License Status

ACTIVE

Business

First Name

MIRYAM

Middle

NATHALIA

Last Name

GARCIA

Suffix

DDS

Business Name

MIRYAM NATHALIA GARCIA DDS

Original Issue Date

08/24/2023

Effective Date

06/10/2024

Expiration Date

09/30/2027

City

ALTON

State

Zip

62002

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/10/2024