FRANCISCO FUENTES DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****87

License Status

NOT RENEWED

Business

First Name

FRANCISCO

Last Name

FUENTES

Suffix

DDS

Business Name

FRANCISCO FUENTES DDS

Original Issue Date

02/22/1996

Effective Date

02/22/1996

Expiration Date

09/30/1996

City

GREAT LAKES

State

Zip

60088

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005