JUDY RENA BURGESS DRAIN DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****37

License Status

ACTIVE

Business

First Name

JUDY RENA

Last Name

BURGESS DRAIN

Suffix

DDS

Business Name

JUDY RENA BURGESS DRAIN DDS

Original Issue Date

03/25/1994

Effective Date

08/27/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60707

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/27/2024