RONALD NIERENBERG Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****27

License Status

NOT RENEWED

Business

First Name

RONALD

Last Name

NIERENBERG

Business Name

RONALD NIERENBERG

Original Issue Date

01/01/1998

Expiration Date

09/30/2000

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

10/17/2005