CLARK ANDREW DOWNEY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****43

License Status

NOT RENEWED

Business

First Name

CLARK

Middle

ANDREW

Last Name

DOWNEY

Business Name

CLARK ANDREW DOWNEY

Original Issue Date

05/16/2008

Effective Date

05/16/2008

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