SCOTT R REHM 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

SCOTT R

Last Name

REHM

Business Name

SCOTT R REHM

Original Issue Date

02/24/1988

Effective Date

02/24/1988

Expiration Date

09/30/1992

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005