ERIC J COONTZ DDS Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****08

License Status

CANCELLED

Business

First Name

ERIC

Middle

Last Name

COONTZ

Suffix

DDS

Business Name

ERIC J COONTZ DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/1992

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005