AIDA P PADRON COSTAS DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****19

License Status

NOT RENEWED

Business

First Name

AIDA

Middle

Last Name

PADRON COSTAS

Suffix

DMD

Business Name

AIDA P PADRON COSTAS DMD

Original Issue Date

09/19/2005

Effective Date

10/01/2009

Expiration Date

09/30/2012

City

GLENVIEW

State

Zip

60025

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

11/14/2012