ROBERT B SEWALL D D S Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****46

License Status

NOT RENEWED

Business

First Name

ROBERT B

Last Name

SEWALL D D S

Business Name

ROBERT B SEWALL D D S

Original Issue Date

01/01/1998

Expiration Date

09/30/2004

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005