ELLIOTT NATHAN KATZ DDS Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001873

License Status

CANCELLED

Business

First Name

ELLIOTT

Middle

NATHAN

Last Name

KATZ

Suffix

DDS

Business Name

ELLIOTT NATHAN KATZ DDS

Original Issue Date

06/03/2013

Effective Date

07/01/2013

Expiration Date

06/30/2014

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

03/13/2015