GEORGE SALEM BROCKMAN DDS 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

GEORGE SALEM

Last Name

BROCKMAN

Suffix

DDS

Business Name

GEORGE SALEM BROCKMAN DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/1984

City

WINNETKA

State

Zip

60093

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005