LAURA SOFIA PESQUERA COLOM DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****56

License Status

ACTIVE

Business

Title

DMD

First Name

LAURA

Middle

SOFIA

Last Name

PESQUERA COLOM

Business Name

LAURA SOFIA PESQUERA COLOM DMD

Original Issue Date

03/26/2024

Effective Date

08/01/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60642

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/01/2024