TODD L EVANS DMD 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

TODD L

Last Name

EVANS

Suffix

DMD

Business Name

TODD L EVANS DMD

Original Issue Date

08/30/1991

Effective Date

08/30/1991

Expiration Date

09/30/1996

City

CHICAGO

State

Zip

60632

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005