TRACY M GUILFORD DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****40

License Status

NOT RENEWED

Business

First Name

TRACY

Middle

Last Name

GUILFORD

Suffix

DDS

Business Name

TRACY M GUILFORD DDS

Original Issue Date

10/03/2005

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009