ELISA V AMPUERO DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****31

License Status

ACTIVE

Business

First Name

ELISA V

Last Name

AMPUERO

Suffix

DDS

Business Name

ELISA V AMPUERO DDS

Original Issue Date

10/20/1995

Effective Date

09/04/2024

Expiration Date

09/30/2027

City

MOKENA

State

Zip

60448

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/04/2024