ROBERT TODD MABRY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****31

License Status

NOT RENEWED

Business

First Name

ROBERT TODD

Last Name

MABRY

Business Name

ROBERT TODD MABRY

Original Issue Date

11/19/1984

Effective Date

11/19/1984

Expiration Date

09/30/1986

City

CHICAGO

State

Zip

60680

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005