BERENICE LOPEZ DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****79

License Status

ACTIVE

Business

First Name

BERENICE

Last Name

LOPEZ

Suffix

DDS

Business Name

BERENICE LOPEZ DDS

Original Issue Date

10/01/2003

Effective Date

09/11/2024

Expiration Date

09/30/2027

City

LA GRANGE PARK

State

Zip

60526

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/11/2024