ROBERT CORWIN POND Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****42

License Status

NOT RENEWED

Business

First Name

ROBERT CORWIN

Last Name

POND

Business Name

ROBERT CORWIN POND

Original Issue Date

01/01/1998

Expiration Date

01/01/1998

City

CHICAGO

State

Zip

60626

County

COOK

Controlled Substance Schedule

III

Ever Disciplined

LastModifiedDate

10/13/2005