ANNA MARIE ALMASE MEDINA DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****48

License Status

ACTIVE

Business

First Name

ANNA

Middle

MARIE ALMASE

Last Name

MEDINA

Suffix

DDS

Business Name

ANNA MARIE ALMASE MEDINA DDS

Original Issue Date

03/08/2024

Effective Date

10/01/2024

Expiration Date

09/30/2027

City

ST CHARLES

State

Zip

60175

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/16/2024