ANNA KARISSA TICZON REYES DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****23

License Status

ACTIVE

Business

Title

DMD

First Name

ANNA KARISSA

Middle

TICZON

Last Name

REYES

Business Name

ANNA KARISSA TICZON REYES DMD

Original Issue Date

08/03/2015

Effective Date

06/18/2024

Expiration Date

09/30/2027

City

SKOKIE

State

Zip

60076

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/18/2024