SOPHIA HATZ 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

SOPHIA

Last Name

HATZ

Business Name

SOPHIA HATZ

Original Issue Date

04/19/1990

Effective Date

04/19/1990

Expiration Date

09/30/1992

City

ADDISON

State

Zip

60101

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005