KEITH D SCHULHOF DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****36

License Status

NOT RENEWED

Business

Title

DMD

First Name

KEITH

Middle

Last Name

SCHULHOF

Business Name

KEITH D SCHULHOF DMD

Original Issue Date

05/02/2011

Effective Date

05/02/2011

Expiration Date

09/30/2012

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012