RUSSEL LEE SKYLES DDS 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

RUSSEL LEE

Last Name

SKYLES

Suffix

DDS

Business Name

RUSSEL LEE SKYLES DDS

Original Issue Date

01/01/1998

Effective Date

10/01/2018

Expiration Date

01/31/2022

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022