MAGDALENO S NUCUM DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****63

License Status

ACTIVE

Business

First Name

MAGDALENO

Middle

Last Name

NUCUM

Suffix

DDS

Business Name

MAGDALENO S NUCUM DDS

Original Issue Date

09/22/2008

Effective Date

09/03/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60630

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/03/2024