HENRY JOHN URBAN 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

HENRY JOHN

Last Name

URBAN

Business Name

HENRY JOHN URBAN

Original Issue Date

01/01/1998

Expiration Date

09/30/2002

City

CHICAGO

State

Zip

60617

County

COOK

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

10/17/2005