JUSTIN ACE DE GUZMAN DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****59

License Status

NOT RENEWED

Business

Title

DMD

First Name

JUSTIN

Middle

ACE

Last Name

DE GUZMAN

Business Name

JUSTIN ACE DE GUZMAN DMD

Original Issue Date

08/01/2022

Effective Date

08/01/2022

Expiration Date

09/30/2024

City

CHICAGO

State

Zip

60607

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025