BERTA MARIA SILVA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****42

License Status

NOT RENEWED

Business

First Name

BERTA

Middle

MARIA

Last Name

SILVA

Suffix

DDS

Business Name

BERTA MARIA SILVA DDS

Original Issue Date

05/15/1992

Effective Date

05/15/1992

Expiration Date

09/30/1994

City

CHICAGO

State

Zip

60634

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005