ROSALYN VASQUEZ DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****54

License Status

NOT RENEWED

Business

Title

DMD

First Name

ROSALYN

Last Name

VASQUEZ

Business Name

ROSALYN VASQUEZ DMD

Original Issue Date

08/29/2019

Effective Date

08/29/2019

Expiration Date

01/31/2022

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022