MELISSA JOY PATENIO Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****42

License Status

ACTIVE

Business

First Name

MELISSA

Middle

JOY

Last Name

PATENIO

Business Name

MELISSA JOY PATENIO

Original Issue Date

05/15/2007

Effective Date

09/02/2024

Expiration Date

09/30/2027

City

GURNEE

State

Zip

60031

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/02/2024