VIRGINIA BAQUIAO NUEZ 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

VIRGINIA

Middle

BAQUIAO

Last Name

NUEZ

Business Name

VIRGINIA BAQUIAO NUEZ

Original Issue Date

05/19/1982

Effective Date

04/21/2009

Expiration Date

09/30/2009

City

CHICAGO

State

Zip

60625

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009