ROBERT HAYES BLACK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019008716

License Status

NOT RENEWED

Business

First Name

ROBERT HAYES

Last Name

BLACK

Business Name

ROBERT HAYES BLACK

Original Issue Date

01/01/1998

Expiration Date

09/30/1984

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005