FERNANDO REY URZUA Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****99

License Status

ACTIVE

Business

First Name

FERNANDO

Middle

REY

Last Name

URZUA

Business Name

FERNANDO REY URZUA

Original Issue Date

05/06/2009

Effective Date

09/24/2024

Expiration Date

09/30/2027

City

BOLINGBROOK

State

Zip

60440

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/24/2024