ELLIOTT OSTRO DDS Dentist License verification

Business Entity

INOPERATIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****01

License Status

INOPERATIVE

Business

First Name

ELLIOTT

Last Name

OSTRO

Suffix

DDS

Business Name

ELLIOTT OSTRO DDS

Original Issue Date

10/28/1992

Effective Date

10/28/1992

Expiration Date

09/30/2006

City

CHICAGO

State

Zip

60640

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005