TRICIA JEAN ALTSCHULER DMD Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****47

License Status

CANCELLED

Business

First Name

TRICIA JEAN

Last Name

ALTSCHULER

Suffix

DMD

Business Name

TRICIA JEAN ALTSCHULER DMD

Original Issue Date

07/16/1998

Effective Date

07/16/1998

Expiration Date

09/30/2004

City

LONG GROVE

State

Zip

60047

County

LAKE

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

10/17/2005