EVELYN O CABALLERO Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****67

License Status

NOT RENEWED

Business

First Name

EVELYN O

Last Name

CABALLERO

Business Name

EVELYN O CABALLERO

Original Issue Date

05/03/1988

Effective Date

05/03/1988

Expiration Date

09/30/1994

City

CHICAGO

State

Zip

60618

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005