PAUL LEMUEL DARK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****36

License Status

NOT RENEWED

Business

First Name

PAUL LEMUEL

Last Name

DARK

Suffix

DDS

Business Name

PAUL LEMUEL DARK DDS

Original Issue Date

10/29/1985

Effective Date

10/29/1985

Expiration Date

09/30/1996

City

CHICAGO

State

Zip

60643

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005