DOUGLAS B CAMPBELL Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****19

License Status

NOT RENEWED

Business

First Name

DOUGLAS B

Last Name

CAMPBELL

Business Name

DOUGLAS B CAMPBELL

Original Issue Date

09/01/1982

Effective Date

02/01/2022

Expiration Date

09/30/2024

City

LAKE FOREST

State

Zip

60045

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025