ROSS LEWIS OBERSCHLAKE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****21

License Status

NOT RENEWED

Business

First Name

ROSS

Middle

LEWIS

Last Name

OBERSCHLAKE

Business Name

ROSS LEWIS OBERSCHLAKE

Original Issue Date

06/21/2011

Effective Date

02/27/2013

Expiration Date

09/30/2015

City

CHICAGO

State

Zip

60616

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016