MICHAEL VINCENT GUADIZ DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****20

License Status

ACTIVE

Business

First Name

MICHAEL

Middle

VINCENT

Last Name

GUADIZ

Suffix

DDS

Business Name

MICHAEL VINCENT GUADIZ DDS

Original Issue Date

07/12/2010

Effective Date

09/03/2024

Expiration Date

09/30/2027

City

BURR RIDGE

State

Zip

60527

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/03/2024