NATHANIEL C LAWSON 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

Title

DMD

First Name

NATHANIEL

Middle

Last Name

LAWSON

Business Name

NATHANIEL C LAWSON DMD

Original Issue Date

08/28/2012

Effective Date

08/28/2012

Expiration Date

09/30/2015

City

CHICAGO

State

Zip

60605

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016