LEONARDO MIGUEL BACHOCO CASTILLO Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****19

License Status

ACTIVE

Business

First Name

LEONARDO MIGUEL

Middle

BACHOCO

Last Name

CASTILLO

Business Name

LEONARDO MIGUEL BACHOCO CASTILLO

Original Issue Date

04/19/2023

Effective Date

08/04/2024

Expiration Date

09/30/2027

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/04/2024