LOURDES T RIVERO DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****27

License Status

NOT RENEWED

Business

First Name

LOURDES

Middle

Last Name

RIVERO

Suffix

DDS

Business Name

LOURDES T RIVERO DDS

Original Issue Date

08/03/1989

Effective Date

06/17/2015

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60641

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018