DEVIN J CROCKETT DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****06

License Status

ACTIVE

Business

Title

DMD

First Name

DEVIN

Middle

Last Name

CROCKETT

Business Name

DEVIN J CROCKETT DMD

Original Issue Date

07/30/2024

Effective Date

07/30/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60608

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/30/2024