FREDERICK F FOOTE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****11

License Status

NOT RENEWED

Business

First Name

FREDERICK

Middle

Last Name

FOOTE

Business Name

FREDERICK F FOOTE

Original Issue Date

02/21/1984

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

CHICAGO

State

Zip

60615

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009