JERALD J ARCHER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****28

License Status

NOT RENEWED

Business

First Name

JERALD J

Last Name

ARCHER

Business Name

JERALD J ARCHER

Original Issue Date

11/29/1990

Effective Date

11/29/1990

Expiration Date

09/30/1994

City

GREAT LAKES

State

Zip

60088

County

LAKE

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

10/17/2005