LOURDES T RIVERO DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****92

License Status

ACTIVE

Business

First Name

LOURDES

Middle

Last Name

RIVERO

Suffix

DDS

Business Name

LOURDES T RIVERO DDS

Original Issue Date

02/01/2006

Effective Date

07/27/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60641

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2024