CARLOS A MALDONADO MIR DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****79

License Status

NOT RENEWED

Business

First Name

CARLOS A

Last Name

MALDONADO MIR

Suffix

DDS

Business Name

CARLOS A MALDONADO MIR DDS

Original Issue Date

03/25/1992

Effective Date

03/25/1992

Expiration Date

09/30/1996

City

WOOD DALE

State

Zip

60191

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005

Case Number

1994006552

Action

Probation

Discipline Start Date

03/20/1998

Discipline End Date

03/19/2000

Discipline Reason

Allegedly using controlled substances in violation of his licenses as a dentist and controlled substance prescriber/dispenser.