ROBERT D AVERY DDS 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

ROBERT D

Last Name

AVERY

Suffix

DDS

Business Name

ROBERT D AVERY DDS

Original Issue Date

12/15/1982

Effective Date

12/15/1982

Expiration Date

09/30/1988

City

HARVEY

State

Zip

60426

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005