RAYMOND A PIERCE 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

RAYMOND

Middle

Last Name

PIERCE

Business Name

RAYMOND A PIERCE

Original Issue Date

10/12/1989

Effective Date

10/13/2009

Expiration Date

09/30/2012

City

CHICAGO

State

Zip

60643

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012