DORIS MADRIGAL DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****40

License Status

ACTIVE

Business

First Name

DORIS

Last Name

MADRIGAL

Suffix

DDS

Business Name

DORIS MADRIGAL DDS

Original Issue Date

03/02/1992

Effective Date

07/21/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60639

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/21/2024