EUGENE KEITH BOONE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****06

License Status

NOT RENEWED

Business

First Name

EUGENE KEITH

Last Name

BOONE

Business Name

EUGENE KEITH BOONE

Original Issue Date

02/08/1990

Effective Date

02/08/1990

Expiration Date

09/30/1996

City

HAZEL CREST

State

Zip

60429

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005