ANNA MARIE ALMASE MEDINA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****37

License Status

NOT RENEWED

Business

First Name

ANNA

Middle

MARIE ALMASE

Last Name

MEDINA

Suffix

DDS

Business Name

ANNA MARIE ALMASE MEDINA DDS

Original Issue Date

09/12/1988

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

ST CHARLES

State

Zip

60175

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009