CAROLYN H MERRILL DDS 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

CAROLYN H

Last Name

MERRILL

Suffix

DDS

Business Name

CAROLYN H MERRILL DDS

Original Issue Date

01/29/1992

Effective Date

01/29/1992

Expiration Date

09/30/2000

City

CHICAGO

State

Zip

60606

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005