MAX DONALD NEWSOME DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012081

License Status

NOT RENEWED

Business

First Name

MAX DONALD

Last Name

NEWSOME

Suffix

DDS

Business Name

MAX DONALD NEWSOME DDS

Original Issue Date

08/02/1962

Effective Date

12/14/2015

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60620

County

COOK

Ever Disciplined

LastModifiedDate

10/31/2018