JOSIE GEMARIE DE LEON OLIVA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****96

License Status

NOT RENEWED

Business

Title

DDS

First Name

JOSIE

Middle

GEMARIE DE LEON

Last Name

OLIVA

Business Name

JOSIE GEMARIE DE LEON OLIVA DDS

Original Issue Date

07/06/2009

Effective Date

06/14/2018

Expiration Date

01/31/2022

City

MUNDELEIN

State

Zip

60060

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022