EMILY RADNER GREENBERG DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****29

License Status

NOT RENEWED

Business

First Name

EMILY

Middle

RADNER

Last Name

GREENBERG

Suffix

DMD

Business Name

EMILY RADNER GREENBERG DMD

Original Issue Date

11/13/2006

Effective Date

11/13/2006

Expiration Date

09/30/2009

City

CHICAGO

State

Zip

60623

County

COOK

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009