ALYSON KIM BUCHALTER DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****18

License Status

NOT RENEWED

Business

First Name

ALYSON KIM

Last Name

BUCHALTER

Suffix

DMD

Business Name

ALYSON KIM BUCHALTER DMD

Original Issue Date

10/30/1981

Effective Date

10/30/1981

Expiration Date

06/01/1982

City

CHICAGO

State

Zip

60616

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005