JOSEPHINE M CLEMENT Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****48

License Status

NOT RENEWED

Business

First Name

JOSEPHINE M

Last Name

CLEMENT

Business Name

JOSEPHINE M CLEMENT

Original Issue Date

08/18/1987

Effective Date

08/18/1987

Expiration Date

09/30/1988

City

CHICAGO

State

Zip

60815

County

COOK

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

10/13/2005