R ALLEN SMUDDE 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

R ALLEN

Last Name

SMUDDE

Business Name

R ALLEN SMUDDE

Original Issue Date

09/30/1996

Effective Date

09/30/1996

Expiration Date

09/30/1998

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005