MARK THOMAS RIZO GAMALINDA Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****42

License Status

ACTIVE

Business

First Name

MARK

Middle

THOMAS RIZO

Last Name

GAMALINDA

Business Name

MARK THOMAS RIZO GAMALINDA

Original Issue Date

08/18/1987

Effective Date

05/08/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60660

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/08/2024