DAVID B ETTINGER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****52

License Status

NOT RENEWED

Business

First Name

DAVID B

Last Name

ETTINGER

Business Name

DAVID B ETTINGER

Original Issue Date

11/20/1995

Effective Date

11/20/1995

Expiration Date

09/30/2000

City

DANVILLE

State

Zip

61832

County

VERMILION

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005