MARILIA JUCA MONTERO-FAYAD DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****97

License Status

NOT RENEWED

Business

First Name

MARILIA

Middle

JUCA

Last Name

MONTERO-FAYAD

Suffix

DDS

Business Name

MARILIA JUCA MONTERO-FAYAD DDS

Original Issue Date

08/03/2001

Effective Date

08/03/2001

Expiration Date

09/30/2004

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005