MATTHEW S PRESCOTT DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000540

License Status

NOT RENEWED

Business

First Name

MATTHEW S

Last Name

PRESCOTT

Suffix

DDS

Business Name

MATTHEW S PRESCOTT DDS

Original Issue Date

06/12/1991

Effective Date

06/12/1991

Expiration Date

06/30/1992

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/12/2005