ASIA BELEN I BELTRAN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****71

License Status

ACTIVE

Business

First Name

ASIA BELEN

Middle

Last Name

BELTRAN

Business Name

ASIA BELEN I BELTRAN

Original Issue Date

12/14/2021

Effective Date

06/29/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60618

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/29/2024