SEYMOUR LEO GOTTLIEB DDS 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

SEYMOUR LEO

Last Name

GOTTLIEB

Suffix

DDS

Business Name

SEYMOUR LEO GOTTLIEB DDS

Original Issue Date

01/01/1998

Effective Date

10/01/2012

Expiration Date

09/30/2015

City

GLENCOE

State

Zip

60022

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016