NEAL DAVID KRAVITZ DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****25

License Status

NOT RENEWED

Business

First Name

NEAL

Middle

DAVID

Last Name

KRAVITZ

Suffix

DMD

Business Name

NEAL DAVID KRAVITZ DMD

Original Issue Date

07/29/2005

Effective Date

07/29/2005

Expiration Date

09/30/2006

City

CHICAGO

State

Zip

60610

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

11/08/2006