JEFFERY STUART FLAGG MD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****08

License Status

NOT RENEWED

Business

Title

First Name

JEFFERY

Middle

STUART

Last Name

FLAGG

Business Name

JEFFERY STUART FLAGG MD

Original Issue Date

10/11/1985

Effective Date

10/11/1985

Expiration Date

09/30/1992

City

CHICAGO

State

Zip

60601

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005