SAMUEL FIELDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019009260

License Status

NOT RENEWED

Business

First Name

SAMUEL

Last Name

FIELDS

Business Name

SAMUEL FIELDS

Original Issue Date

08/04/1947

Effective Date

08/04/1947

Expiration Date

09/30/1990

City

EVANSTON

State

Zip

60203

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005