RUTH CHAPARRO GOMES 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

RUTH

Middle

CHAPARRO

Last Name

GOMES

Business Name

RUTH CHAPARRO GOMES

Original Issue Date

03/03/2006

Effective Date

03/03/2006

Expiration Date

09/30/2006

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/08/2006