LOUIS MARTIN CRIXELL JR 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

LOUIS MARTIN

Last Name

CRIXELL JR

Suffix

DDS

Business Name

LOUIS MARTIN CRIXELL JR DDS

Original Issue Date

02/07/1983

Effective Date

02/07/1983

Expiration Date

09/30/1994

City

CHICAGO

State

Zip

60622

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005