STEWART IRA PERIM DDS 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

STEWART IRA

Last Name

PERIM

Suffix

DDS

Business Name

STEWART IRA PERIM DDS

Original Issue Date

09/30/1981

Effective Date

09/30/1981

Expiration Date

06/01/1982

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005