PAUL J DENEMARK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****56

License Status

NOT RENEWED

Business

First Name

PAUL

Middle

Last Name

DENEMARK

Suffix

DDS

Business Name

PAUL J DENEMARK DDS

Original Issue Date

05/25/1999

Effective Date

05/25/1999

Expiration Date

09/30/2000

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005