IVELIS HERNANDEZ RAMINEZ DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****51

License Status

NOT RENEWED

Business

First Name

IVELIS

Last Name

HERNANDEZ RAMINEZ

Suffix

DMD

Business Name

IVELIS HERNANDEZ RAMINEZ DMD

Original Issue Date

11/09/2009

Effective Date

11/09/2009

Expiration Date

09/30/2012

City

CICERO

State

Zip

60804

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012