S DONOVAN ESSEN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****44

License Status

NOT RENEWED

Business

First Name

S DONOVAN

Last Name

ESSEN

Business Name

S DONOVAN ESSEN

Original Issue Date

10/21/1987

Effective Date

10/21/1987

Expiration Date

09/30/1994

City

PARK RIDGE

State

Zip

60068

County

COOK

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

10/13/2005