RICARDO YSIDORO MENDOZA Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****99

License Status

ACTIVE

Business

First Name

RICARDO

Middle

YSIDORO

Last Name

MENDOZA

Business Name

RICARDO YSIDORO MENDOZA

Original Issue Date

11/06/2001

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60647

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/01/2024