EILEEN C SEITZ Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****32

License Status

NOT RENEWED

Business

First Name

EILEEN C

Last Name

SEITZ

Business Name

EILEEN C SEITZ

Original Issue Date

09/18/1986

Effective Date

09/18/1986

Expiration Date

09/30/1988

City

CHICAGO

State

Zip

60609

County

COOK

Controlled Substance Schedule

IV V

Ever Disciplined

LastModifiedDate

10/13/2005