CAMERON HASLEM GEORGE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****20

License Status

NOT RENEWED

Business

First Name

CAMERON

Middle

HASLEM

Last Name

GEORGE

Suffix

DDS

Business Name

CAMERON HASLEM GEORGE DDS

Original Issue Date

05/26/1998

Effective Date

05/26/1998

Expiration Date

09/30/2002

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005