GEORGE ORTHEL VANVERST DDS 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

GEORGE ORTHEL

Last Name

VANVERST

Suffix

DDS

Business Name

GEORGE ORTHEL VANVERST DDS

Original Issue Date

05/19/2004

Effective Date

06/04/2009

Expiration Date

09/30/2012

City

OAK PARK

State

Zip

60301

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012