ISABEL C SUASTEGUI MURSULI Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****78

License Status

ACTIVE

Business

First Name

ISABEL C

Last Name

SUASTEGUI MURSULI

Business Name

ISABEL C SUASTEGUI MURSULI

Original Issue Date

08/21/1990

Effective Date

09/17/2024

Expiration Date

09/30/2027

City

MELROSE PARK

State

Zip

60160

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/17/2024