MARIA FE CORPUZ- BATO Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****30

License Status

CANCELLED

Business

First Name

MARIA FE

Middle

CORPUZ-

Last Name

BATO

Business Name

MARIA FE CORPUZ- BATO

Original Issue Date

03/02/1992

Effective Date

08/22/2012

Expiration Date

09/30/2015

City

GURNEE

State

Zip

60031

County

LAKE

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

06/08/2015