MARIA ROMANA ROMAN Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****65

License Status

INACTIVE

Business

First Name

MARIA

Middle

ROMANA

Last Name

ROMAN

Business Name

MARIA ROMANA ROMAN

Original Issue Date

02/11/2009

Effective Date

07/13/2018

Expiration Date

12/31/2021

City

VERNON HILLS

State

Zip

60061

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/20/2021