RUSSELL LEROY PARKER 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

RUSSELL LEROY

Last Name

PARKER

Business Name

RUSSELL LEROY PARKER

Original Issue Date

01/01/1998

Expiration Date

09/30/1988

City

FRANKLIN PARK

State

Zip

60131

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005