OFELIA M POD DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****39

License Status

ACTIVE

Business

First Name

OFELIA

Middle

Last Name

POD

Suffix

DMD

Business Name

OFELIA M POD DMD

Original Issue Date

05/10/2007

Effective Date

08/26/2024

Expiration Date

09/30/2027

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/26/2024