TERRY JOEL ANNEX DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000641

License Status

NOT RENEWED

Business

First Name

TERRY

Middle

JOEL

Last Name

ANNEX

Suffix

DDS

Business Name

TERRY JOEL ANNEX DDS

Original Issue Date

12/08/1969

Effective Date

08/10/2012

Expiration Date

09/30/2015

City

SKOKIE

State

Zip

60077

County

COOK

Specialty/Qualifier

Periodontics

Ever Disciplined

LastModifiedDate

02/08/2016

Case Number

1990004652

Action

Fine

Discipline Start Date

10/30/1990

Discipline Reason

Continued to hold himself out as a specialist in periodontics after his specialty license expired in 1980.