MARIA L R BASCO RESURRECCION 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

MARIA

Middle

L R

Last Name

BASCO RESURRECCION

Business Name

MARIA L R BASCO RESURRECCION

Original Issue Date

12/07/1999

Effective Date

12/07/1999

Expiration Date

09/30/2002

City

SKOKIE

State

Zip

60076

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005