HECTOR TREVINO DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****99

License Status

NOT RENEWED

Business

Title

DMD

First Name

HECTOR

Last Name

TREVINO

Business Name

HECTOR TREVINO DMD

Original Issue Date

08/01/2019

Effective Date

08/01/2019

Expiration Date

01/31/2022

City

LA GRANGE

State

Zip

60525

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022