AMMIE LUCERO CHINCHILLA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****43

License Status

NOT RENEWED

Business

Title

DDS

First Name

AMMIE

Middle

LUCERO

Last Name

CHINCHILLA

Business Name

AMMIE LUCERO CHINCHILLA DDS

Original Issue Date

05/22/2023

Effective Date

05/22/2023

Expiration Date

09/30/2024

City

CHICAGO

State

Zip

60620

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025