MATTHEW REED CAMPBELL DMD 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

MATTHEW

Middle

REED

Last Name

CAMPBELL

Suffix

DMD

Business Name

MATTHEW REED CAMPBELL DMD

Original Issue Date

09/19/2011

Effective Date

09/25/2012

Expiration Date

09/30/2015

City

CHICAGO

State

Zip

60605

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016