SAUL ANEL ESCALA 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

SAUL

Middle

ANEL

Last Name

ESCALA

Business Name

SAUL ANEL ESCALA

Original Issue Date

06/14/2007

Effective Date

06/14/2007

Expiration Date

09/30/2009

City

CHICAGO

State

Zip

60623

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009