POLIXENI D TINGAS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****98

License Status

NOT RENEWED

Business

First Name

POLIXENI D

Last Name

TINGAS

Suffix

DDS

Business Name

POLIXENI D TINGAS DDS

Original Issue Date

05/24/1991

Effective Date

05/24/1991

Expiration Date

09/30/2000

City

ELMWOOD PARK

State

Zip

60635

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005