DANIEL VASQUEZ BALDERRAMA DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****37

License Status

ACTIVE

Business

Title

DDS

First Name

DANIEL

Middle

VASQUEZ

Last Name

BALDERRAMA

Business Name

DANIEL VASQUEZ BALDERRAMA DDS

Original Issue Date

05/05/2017

Effective Date

09/02/2024

Expiration Date

09/30/2027

City

NORTH AURORA

State

Zip

60542

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/02/2024