BLANCA LETICIA SALAZAR Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****95

License Status

ACTIVE

Business

First Name

BLANCA LETICIA

Last Name

SALAZAR

Business Name

BLANCA LETICIA SALAZAR

Original Issue Date

06/05/1986

Effective Date

09/04/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/04/2024