BETTY A HABERKAMP DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****41

License Status

NOT RENEWED

Business

First Name

BETTY A

Last Name

HABERKAMP

Suffix

DDS

Business Name

BETTY A HABERKAMP DDS

Original Issue Date

01/23/1987

Effective Date

09/08/2009

Expiration Date

09/30/2012

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012