DONALD J REILY DDS Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****05

License Status

CANCELLED

Business

First Name

DONALD J

Last Name

REILY

Suffix

DDS

Business Name

DONALD J REILY DDS

Original Issue Date

10/24/1991

Effective Date

10/24/1991

Expiration Date

09/30/1992

City

ANTIOCH

State

Zip

60002

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005