EDITHA R ALANGUILAN REYES DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****46

License Status

NOT RENEWED

Business

First Name

EDITHA

Middle

R ALANGUILAN

Last Name

REYES

Suffix

DMD

Business Name

EDITHA R ALANGUILAN REYES DMD

Original Issue Date

03/11/1992

Effective Date

09/08/2015

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60618

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018