VINCENT WALTER BURHOP 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

VINCENT

Middle

WALTER

Last Name

BURHOP

Business Name

VINCENT WALTER BURHOP

Original Issue Date

08/06/2014

Effective Date

10/01/2018

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60640

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022