BRENTON WALTER BURGER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****05

License Status

NOT RENEWED

Business

First Name

BRENTON WALTER

Last Name

BURGER

Business Name

BRENTON WALTER BURGER

Original Issue Date

05/15/1986

Effective Date

05/15/1986

Expiration Date

09/30/1988

City

CHICAGO

State

Zip

60616

County

COOK

Controlled Substance Schedule

II IV V

Ever Disciplined

LastModifiedDate

10/13/2005