ALLEN LEE VAN HOOZEN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****17

License Status

NOT RENEWED

Business

First Name

ALLEN LEE

Last Name

VAN HOOZEN

Business Name

ALLEN LEE VAN HOOZEN

Original Issue Date

08/09/1983

Effective Date

08/09/1983

Expiration Date

09/30/1992

City

LAKE IN THE HILLS

State

Zip

60102

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005