RODERIC LIGACION DELA CRUZ DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****88

License Status

NOT RENEWED

Business

First Name

RODERIC

Middle

LIGACION

Last Name

DELA CRUZ

Suffix

DMD

Business Name

RODERIC LIGACION DELA CRUZ DMD

Original Issue Date

10/11/2007

Effective Date

10/11/2007

Expiration Date

09/30/2009

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009