ROY G HURST DDS Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****04

License Status

CANCELLED

Business

First Name

ROY

Middle

Last Name

HURST

Suffix

DDS

Business Name

ROY G HURST DDS

Original Issue Date

03/15/2004

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

CHICAGO

State

Zip

60610

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/04/2009