ROBERT NATHANIEL SIMMONS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****45

License Status

NOT RENEWED

Business

First Name

ROBERT NATHANIEL

Last Name

SIMMONS

Suffix

DDS

Business Name

ROBERT NATHANIEL SIMMONS DDS

Original Issue Date

03/01/1991

Effective Date

10/01/2018

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60655

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022