MARK E CROMPTON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****55

License Status

NOT RENEWED

Business

First Name

MARK E

Last Name

CROMPTON

Business Name

MARK E CROMPTON

Original Issue Date

04/17/1987

Effective Date

04/17/1987

Expiration Date

09/30/1988

City

CHICAGO

State

Zip

60647

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005