DARRELL J EVANS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****22

License Status

NOT RENEWED

Business

First Name

DARRELL J

Last Name

EVANS

Business Name

DARRELL J EVANS

Original Issue Date

12/29/1988

Effective Date

12/29/1988

Expiration Date

09/30/1990

City

CHICAGO

State

Zip

60643

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005