MELANIE R WATSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****59

License Status

NOT RENEWED

Business

First Name

MELANIE R

Last Name

WATSON

Suffix

DDS

Business Name

MELANIE R WATSON DDS

Original Issue Date

05/09/1988

Effective Date

05/09/1988

Expiration Date

09/30/1990

City

CHICAGO

State

Zip

60609

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005