HOWARD THEODORE BLOCK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****26

License Status

NOT RENEWED

Business

First Name

HOWARD THEODORE

Last Name

BLOCK

Suffix

DDS

Business Name

HOWARD THEODORE BLOCK DDS

Original Issue Date

01/01/1998

Effective Date

09/26/2013

Expiration Date

09/30/2015

City

NORTHBROOK

State

Zip

60062

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016