JOHN WALTER PACEY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000075

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

WALTER

Last Name

PACEY

Business Name

JOHN WALTER PACEY

Original Issue Date

01/01/1998

Expiration Date

09/30/2000

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Specialty/Qualifier

Deep Sedation and General Anesthesia

Ever Disciplined

LastModifiedDate

10/17/2005