SUSAN ASH 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

SUSAN

Last Name

ASH

Business Name

SUSAN ASH

Original Issue Date

12/08/1988

Effective Date

12/08/1988

Expiration Date

09/30/1990

City

LAKE ZURICH

State

Zip

60047

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005