TINA MARIA JOSE 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

Title

DMD

First Name

TINA

Middle

MARIA

Last Name

JOSE

Business Name

TINA MARIA JOSE DMD

Original Issue Date

10/05/2018

Effective Date

10/05/2018

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60634

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022