ASHLEY ROSE COULTER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****14

License Status

NOT RENEWED

Business

First Name

ASHLEY

Middle

ROSE

Last Name

COULTER

Business Name

ASHLEY ROSE COULTER

Original Issue Date

06/10/2015

Effective Date

06/10/2015

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018