XAVIER LEPE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****53

License Status

NOT RENEWED

Business

First Name

XAVIER

Last Name

LEPE

Business Name

XAVIER LEPE

Original Issue Date

03/25/1988

Effective Date

03/25/1988

Expiration Date

09/30/1992

City

MAYWOOD

State

Zip

60153

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005