KRIZIA VENICE PALLARCA DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****31

License Status

ACTIVE

Business

Title

DMD

First Name

KRIZIA VENICE

Last Name

PALLARCA

Business Name

KRIZIA VENICE PALLARCA DMD

Original Issue Date

02/07/2022

Effective Date

08/07/2024

Expiration Date

09/30/2027

City

NILES

State

Zip

60714

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/07/2024