ADRIANA CAROLINA PADRON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****55

License Status

NOT RENEWED

Business

First Name

ADRIANA

Middle

CAROLINA

Last Name

PADRON

Business Name

ADRIANA CAROLINA PADRON

Original Issue Date

06/22/2016

Effective Date

12/01/2021

Expiration Date

09/30/2024

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025