MARIA L R BASCO RESURRECCION Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****18

License Status

NOT RENEWED

Business

First Name

MARIA

Middle

L R

Last Name

BASCO RESURRECCION

Business Name

MARIA L R BASCO RESURRECCION

Original Issue Date

11/18/2002

Effective Date

09/06/2012

Expiration Date

09/30/2015

City

CHICAGO

State

Zip

60625

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016