JOSE A VAZQUEZ DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****94

License Status

ACTIVE

Business

First Name

JOSE A

Last Name

VAZQUEZ

Suffix

DDS

Business Name

JOSE A VAZQUEZ DDS

Original Issue Date

09/03/1993

Effective Date

09/23/2024

Expiration Date

09/30/2027

City

BOLINGBROOK

State

Zip

60440

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/23/2024