ELISA PEREZ DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****35

License Status

NOT RENEWED

Business

Title

DDS

First Name

ELISA

Last Name

PEREZ

Business Name

ELISA PEREZ DDS

Original Issue Date

10/01/2014

Effective Date

08/15/2018

Expiration Date

01/31/2022

City

MOUNT CARMEL

State

Zip

62863

County

WABASH

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022