GIANCARLO A MALDONADO DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****76

License Status

NOT RENEWED

Business

First Name

GIANCARLO

Middle

Last Name

MALDONADO

Suffix

DDS

Business Name

GIANCARLO A MALDONADO DDS

Original Issue Date

03/30/2005

Effective Date

09/05/2018

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60623

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022