LUIS GUILLERMO LOPERA Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****14

License Status

ACTIVE

Business

First Name

LUIS

Middle

GUILLERMO

Last Name

LOPERA

Business Name

LUIS GUILLERMO LOPERA

Original Issue Date

10/07/2005

Effective Date

08/13/2024

Expiration Date

09/30/2027

City

MUDELEIN

State

Zip

60060

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/13/2024