SHAWN MICHAEL VELEZ 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

SHAWN

Middle

MICHAEL

Last Name

VELEZ

Business Name

SHAWN MICHAEL VELEZ

Original Issue Date

08/29/2002

Effective Date

06/26/2009

Expiration Date

09/30/2012

City

EVANSTON

State

Zip

60201

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012