MARIA FE CORPUZ- BATO Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****29

License Status

NOT RENEWED

Business

First Name

MARIA FE

Middle

CORPUZ-

Last Name

BATO

Business Name

MARIA FE CORPUZ- BATO

Original Issue Date

08/01/1989

Effective Date

08/01/1989

Expiration Date

09/30/1994

City

CHICAGO

State

Zip

60603

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005