ADAM RAUDEBAUGH DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****19

License Status

ACTIVE

Business

Title

DMD

First Name

ADAM

Last Name

RAUDEBAUGH

Business Name

ADAM RAUDEBAUGH DMD

Original Issue Date

07/19/2022

Effective Date

06/30/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60607

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/30/2024