GABRIELA BALTIERRES DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****84

License Status

NOT RENEWED

Business

First Name

GABRIELA

Last Name

BALTIERRES

Suffix

DDS

Business Name

GABRIELA BALTIERRES DDS

Original Issue Date

03/03/1997

Effective Date

03/03/1997

Expiration Date

09/30/2002

City

CHICAGO

State

Zip

60646

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005