JOSHUA LAWRENCE SECREST DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****10

License Status

NOT RENEWED

Business

Title

DDS

First Name

JOSHUA

Middle

LAWRENCE

Last Name

SECREST

Business Name

JOSHUA LAWRENCE SECREST DDS

Original Issue Date

11/21/2012

Effective Date

11/21/2012

Expiration Date

09/30/2015

City

ARLINGTON HEIGHTS

State

Zip

60005

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016