DENISE R NEBGEN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****07

License Status

NOT RENEWED

Business

First Name

DENISE R

Last Name

NEBGEN

Suffix

DDS

Business Name

DENISE R NEBGEN DDS

Original Issue Date

11/21/1991

Effective Date

11/21/1991

Expiration Date

09/30/1996

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

10/13/2005