RAYMOND FRANK HENNEMAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****38

License Status

NOT RENEWED

Business

First Name

RAYMOND FRANK

Last Name

HENNEMAN

Business Name

RAYMOND FRANK HENNEMAN

Original Issue Date

01/01/1998

Expiration Date

09/30/2000

City

PARK RIDGE

State

Zip

60068

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005