RENEE A BOONE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****58

License Status

NOT RENEWED

Business

First Name

RENEE A

Last Name

BOONE

Business Name

RENEE A BOONE

Original Issue Date

03/23/1989

Effective Date

03/23/1989

Expiration Date

09/30/1990

City

CHICAGO

State

Zip

60649

County

COOK

Controlled Substance Schedule

III IV

Ever Disciplined

LastModifiedDate

10/13/2005