ERIC T WASHINGTON 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

ERIC T

Last Name

WASHINGTON

Business Name

ERIC T WASHINGTON

Original Issue Date

11/04/1996

Effective Date

11/04/1996

Expiration Date

09/30/1998

City

HARVEY

State

Zip

60426

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005