WILLIAM VENEMA JR 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

WILLIAM

Last Name

VENEMA JR

Business Name

WILLIAM VENEMA JR

Original Issue Date

01/01/1998

Expiration Date

09/30/1988

City

WESTERN SPRINGS

State

Zip

60558

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005