MICHELE JACLYN EQUINDA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****91

License Status

NOT RENEWED

Business

Title

DDS

First Name

MICHELE

Middle

JACLYN

Last Name

EQUINDA

Business Name

MICHELE JACLYN EQUINDA DDS

Original Issue Date

04/04/2016

Effective Date

04/04/2016

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018