JACQUELINE MAGALLANES Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****82

License Status

ACTIVE

Business

First Name

JACQUELINE

Last Name

MAGALLANES

Business Name

JACQUELINE MAGALLANES

Original Issue Date

06/21/2017

Effective Date

09/01/2024

Expiration Date

09/30/2027

City

WILLOWBROOK

State

Zip

60527

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/01/2024