DIANA C RACEAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****23

License Status

NOT RENEWED

Business

First Name

DIANA C

Last Name

RACEAN

Business Name

DIANA C RACEAN

Original Issue Date

08/23/1994

Effective Date

08/23/1994

Expiration Date

09/30/1996

City

CHICAGO

State

Zip

60659

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005