JUDITH A BUCHANAN DMD 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

JUDITH A

Last Name

BUCHANAN

Suffix

DMD

Business Name

JUDITH A BUCHANAN DMD

Original Issue Date

11/30/1992

Effective Date

11/30/1992

Expiration Date

09/30/1998

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005