NEAL DAVID KRAVITZ DMD Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001477

License Status

EXPIRED

Business

First Name

NEAL

Middle

DAVID

Last Name

KRAVITZ

Suffix

DMD

Business Name

NEAL DAVID KRAVITZ DMD

Original Issue Date

08/05/2004

Effective Date

08/05/2004

Expiration Date

05/10/2007

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Orthodontics

Ever Disciplined

LastModifiedDate

05/23/2007