SCOTT R LANG 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

SCOTT

Middle

Last Name

LANG

Business Name

SCOTT R LANG

Original Issue Date

06/20/2007

Effective Date

06/20/2007

Expiration Date

09/30/2009

City

TINLEY PARK

State

Zip

60477

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009