VICTOR A ELIZONDO Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****78

License Status

NOT RENEWED

Business

First Name

VICTOR A

Last Name

ELIZONDO

Business Name

VICTOR A ELIZONDO

Original Issue Date

10/08/1982

Effective Date

09/29/2009

Expiration Date

09/30/2012

City

OAK PARK

State

Zip

60304

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012