ERICK QUINTANA RAYA DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****44

License Status

ACTIVE

Business

Title

DMD

First Name

ERICK

Last Name

QUINTANA RAYA

Business Name

ERICK QUINTANA RAYA DMD

Original Issue Date

06/04/2020

Effective Date

08/13/2024

Expiration Date

09/30/2027

City

SPRING VALLEY

State

Zip

61362

County

BUREAU

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/13/2024