PETER J DEMLEIN DDS 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

PETER J

Last Name

DEMLEIN

Suffix

DDS

Business Name

PETER J DEMLEIN DDS

Original Issue Date

08/03/1981

Effective Date

08/03/1981

Expiration Date

09/30/1984

City

CHICAGO

State

Zip

60623

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005