RICARDO G DY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****64

License Status

NOT RENEWED

Business

First Name

RICARDO G

Last Name

Business Name

RICARDO G DY

Original Issue Date

09/17/1996

Effective Date

09/17/1996

Expiration Date

09/30/2006

City

CHICAGO

State

Zip

60618

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/08/2006