MARITZA A PEREZ DDS 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

MARITZA

Middle

Last Name

PEREZ

Suffix

DDS

Business Name

MARITZA A PEREZ DDS

Original Issue Date

08/11/2011

Effective Date

08/11/2011

Expiration Date

09/30/2012

City

BOLINGBROOK

State

Zip

60440

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

11/14/2012