WARREN GEORGE RUNYAN 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

WARREN GEORGE

Last Name

RUNYAN

Business Name

WARREN GEORGE RUNYAN

Original Issue Date

01/01/1998

Expiration Date

09/30/1998

City

CHICAGO

State

Zip

60655

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005