FRED F OHR 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

FRED F

Last Name

OHR

Business Name

FRED F OHR

Original Issue Date

01/01/1998

Expiration Date

09/30/2004

City

CHICAGO

State

Zip

60659

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

10/17/2005