FORREST R TOWER Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****12

License Status

ACTIVE

Business

First Name

FORREST R

Last Name

TOWER

Business Name

FORREST R TOWER

Original Issue Date

07/28/1982

Effective Date

05/06/2024

Expiration Date

09/30/2027

City

OAK LAWN

State

Zip

60453

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/06/2024