CANNUTTE NEWTON RUSSELL DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****01

License Status

NOT RENEWED

Business

Title

DDS

First Name

CANNUTTE

Middle

NEWTON

Last Name

RUSSELL

Business Name

CANNUTTE NEWTON RUSSELL DDS

Original Issue Date

01/01/1998

Effective Date

10/16/2012

Expiration Date

09/30/2015

City

CHICAGO

State

Zip

60609

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

02/08/2016