ELLIOTT OSTRO DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021001321

License Status

NOT RENEWED

Business

First Name

ELLIOTT

Last Name

OSTRO

Suffix

DDS

Business Name

ELLIOTT OSTRO DDS

Original Issue Date

09/17/1986

Effective Date

09/17/1986

Expiration Date

09/30/2006

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

10/13/2005

Case Number

2004008150

Action

Summary Suspension

Discipline Start Date

10/28/2004

Discipline End Date

11/01/2004