DANIEL MARK WEBER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****39

License Status

NOT RENEWED

Business

First Name

DANIEL

Middle

MARK

Last Name

WEBER

Suffix

DDS

Business Name

DANIEL MARK WEBER DDS

Original Issue Date

07/13/2006

Effective Date

07/13/2006

Expiration Date

09/30/2009

City

CHICAGO

State

Zip

60638

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009