ROBERT DERELL DURR Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****12

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

DERELL

Last Name

DURR

Business Name

ROBERT DERELL DURR

Original Issue Date

04/29/2002

Effective Date

04/29/2002

Expiration Date

09/30/2004

City

CHICAGO

State

Zip

60620

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005