ANDREW N EMANUEL DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****33

License Status

NOT RENEWED

Business

Title

DDS

First Name

ANDREW

Middle

Last Name

EMANUEL

Business Name

ANDREW N EMANUEL DDS

Original Issue Date

07/20/2009

Effective Date

07/20/2009

Expiration Date

09/30/2012

City

CHICAGO

State

Zip

60618

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012