RANDALL WILLIAM ESBROOK 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

Title

DDS

First Name

RANDALL

Middle

WILLIAM

Last Name

ESBROOK

Business Name

RANDALL WILLIAM ESBROOK DDS

Original Issue Date

01/01/1998

Effective Date

08/13/2012

Expiration Date

09/30/2015

City

LAKE IN THE HILLS

State

Zip

60156

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016