ALBERTO MEDALLA TOPACIO Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****16

License Status

ACTIVE

Business

First Name

ALBERTO

Middle

MEDALLA

Last Name

TOPACIO

Business Name

ALBERTO MEDALLA TOPACIO

Original Issue Date

08/03/2015

Effective Date

10/01/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60638

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/18/2024