PHILIP H DEBRY 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

PHILIP H

Last Name

DEBRY

Suffix

DDS

Business Name

PHILIP H DEBRY DDS

Original Issue Date

07/15/1991

Effective Date

07/15/1991

Expiration Date

09/30/1992

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005