RICHARD HENRY RENWICK DDS Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****45

License Status

CANCELLED

Business

First Name

RICHARD HENRY

Last Name

RENWICK

Suffix

DDS

Business Name

RICHARD HENRY RENWICK DDS

Original Issue Date

05/08/1987

Effective Date

05/08/1987

Expiration Date

09/30/1992

City

MORRIS

State

Zip

60450

County

GRUNDY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005