HANNAH H CLIFFORD DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****09

License Status

NOT RENEWED

Business

First Name

HANNAH

Middle

Last Name

CLIFFORD

Suffix

DDS

Business Name

HANNAH H CLIFFORD DDS

Original Issue Date

04/06/2007

Effective Date

06/09/2009

Expiration Date

09/30/2012

City

ROUND LAKE BEACH

State

Zip

60073

County

LAKE

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012