SHAUN ALEX 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

SHAUN

Last Name

ALEX DDS

Business Name

SHAUN ALEX DDS

Original Issue Date

07/13/2009

Effective Date

07/13/2009

Expiration Date

09/30/2012

City

CHICAGO

State

Zip

60618

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012