PATRICK J QATSHA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****30

License Status

NOT RENEWED

Business

First Name

PATRICK

Middle

Last Name

QATSHA

Suffix

DDS

Business Name

PATRICK J QATSHA DDS

Original Issue Date

07/07/2004

Effective Date

07/07/2004

Expiration Date

09/30/2006

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/08/2006