ROBERT T DURRETT 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

ROBERT T

Last Name

DURRETT

Business Name

ROBERT T DURRETT

Original Issue Date

01/05/1988

Effective Date

09/28/2021

Expiration Date

09/30/2024

City

LAKE FOREST

State

Zip

60045

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025