MARTHA VEGA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****94

License Status

NOT RENEWED

Business

First Name

MARTHA

Last Name

VEGA

Suffix

DDS

Business Name

MARTHA VEGA DDS

Original Issue Date

05/01/1992

Effective Date

05/01/1992

Expiration Date

09/30/1996

City

OAK PARK

State

Zip

60302

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005