RANDALL JORGEN RAABE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****47

License Status

NOT RENEWED

Business

First Name

RANDALL

Middle

JORGEN

Last Name

RAABE

Suffix

DDS

Business Name

RANDALL JORGEN RAABE DDS

Original Issue Date

01/01/1998

Effective Date

09/20/2012

Expiration Date

09/30/2015

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016