ATHEEFUR R PAPA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****15

License Status

NOT RENEWED

Business

First Name

ATHEEFUR R

Last Name

PAPA

Suffix

DDS

Business Name

ATHEEFUR R PAPA DDS

Original Issue Date

09/11/1989

Effective Date

06/28/2012

Expiration Date

09/30/2015

City

CHICAGO

State

Zip

60634

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016