JOHN WILLIAM COUGHLIN 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

JOHN WILLIAM

Last Name

COUGHLIN

Suffix

DDS

Business Name

JOHN WILLIAM COUGHLIN DDS

Original Issue Date

06/24/1986

Effective Date

06/24/1986

Expiration Date

09/30/1994

City

NORRIDGE

State

Zip

60656

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005