NATALIE LIDOW 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

NATALIE

Last Name

LIDOW

Business Name

NATALIE LIDOW

Original Issue Date

05/14/2002

Effective Date

05/14/2002

Expiration Date

09/30/2006

City

CHICAGO

State

Zip

60608

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/08/2006