CHRISTINE C ANCAJAS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****30

License Status

NOT RENEWED

Business

First Name

CHRISTINE C

Last Name

ANCAJAS

Suffix

DDS

Business Name

CHRISTINE C ANCAJAS DDS

Original Issue Date

11/15/1993

Effective Date

11/15/1993

Expiration Date

09/30/2000

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005