KURT M HALUM DMD 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

KURT M

Last Name

HALUM

Suffix

DMD

Business Name

KURT M HALUM DMD

Original Issue Date

09/25/1991

Effective Date

09/25/1991

Expiration Date

09/30/2002

City

CHICAGO

State

Zip

60613

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005