RANDAL JOSEPH BUTCHNESS 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

RANDAL JOSEPH

Last Name

BUTCHNESS

Business Name

RANDAL JOSEPH BUTCHNESS

Original Issue Date

08/19/1983

Effective Date

08/05/2015

Expiration Date

09/30/2018

City

STREAMWOOD

State

Zip

60107

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018