R VON PORTER Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****35

License Status

CANCELLED

Business

First Name

R VON

Last Name

PORTER

Business Name

R VON PORTER

Original Issue Date

11/18/1987

Effective Date

11/18/1987

Expiration Date

09/30/2006

City

NAPERVILLE

State

Zip

60565

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/24/2006