LOWELL BRUCE DAVIS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****60

License Status

NOT RENEWED

Business

First Name

LOWELL BRUCE

Last Name

DAVIS

Suffix

DDS

Business Name

LOWELL BRUCE DAVIS DDS

Original Issue Date

01/01/1998

Expiration Date

06/01/1982

City

MELROSE PARK

State

Zip

60160

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005