BASILEEANE FRANCO GONZALEZ Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****50

License Status

ACTIVE

Business

First Name

BASILEEANE

Middle

FRANCO

Last Name

GONZALEZ

Business Name

BASILEEANE FRANCO GONZALEZ

Original Issue Date

11/28/2006

Effective Date

08/24/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60634

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/24/2024