DAVID B LEWIS JR DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****35

License Status

NOT RENEWED

Business

First Name

DAVID B

Last Name

LEWIS JR

Suffix

DDS

Business Name

DAVID B LEWIS JR DDS

Original Issue Date

09/05/1984

Effective Date

09/05/1984

Expiration Date

09/30/1994

City

GLENVIEW

State

Zip

60025

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005