GERALD MARTIN NOSKIN 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

GERALD MARTIN

Last Name

NOSKIN

Business Name

GERALD MARTIN NOSKIN

Original Issue Date

01/14/2009

Effective Date

10/02/2009

Expiration Date

09/30/2012

City

SKOKIE

State

Zip

60077

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

11/14/2012