ROSS I COUWENHOVEN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****49

License Status

NOT RENEWED

Business

First Name

ROSS I

Last Name

COUWENHOVEN

Suffix

DDS

Business Name

ROSS I COUWENHOVEN DDS

Original Issue Date

04/02/1982

Effective Date

04/02/1982

Expiration Date

09/30/1988

City

LANSING

State

Zip

60438

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005