LINA MIRANDA-RENDON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****36

License Status

NOT RENEWED

Business

First Name

LINA

Last Name

MIRANDA-RENDON

Business Name

LINA MIRANDA-RENDON

Original Issue Date

08/13/1982

Effective Date

08/13/1982

Expiration Date

09/30/1994

City

CHICAGO

State

Zip

60647

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005