DAVID E SCHMIDT Dentist License verification

Business Entity

INOPERATIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****41

License Status

INOPERATIVE

Business

First Name

DAVID

Middle

Last Name

SCHMIDT

Business Name

DAVID E SCHMIDT

Original Issue Date

09/23/1998

Effective Date

09/23/1998

Expiration Date

09/30/2002

City

LAKE FOREST

State

Zip

60045

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005