ISAAC NO DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****17

License Status

NOT RENEWED

Business

Title

DMD

First Name

ISAAC

Last Name

Business Name

ISAAC NO DMD

Original Issue Date

07/01/2023

Effective Date

07/01/2023

Expiration Date

09/30/2024

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025