MARTIN O JUEL Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****04

License Status

NOT RENEWED

Business

First Name

MARTIN O

Last Name

JUEL

Business Name

MARTIN O JUEL

Original Issue Date

01/01/1998

Expiration Date

01/01/1998

City

OAK PARK

State

Zip

60302

County

COOK

Controlled Substance Schedule

III IV

Ever Disciplined

LastModifiedDate

10/13/2005