MARIA ROMANA ROMAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****47

License Status

NOT RENEWED

Business

First Name

MARIA

Middle

ROMANA

Last Name

ROMAN

Business Name

MARIA ROMANA ROMAN

Original Issue Date

06/25/2002

Effective Date

06/25/2002

Expiration Date

09/30/2004

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005