MEREDITH C ISRAEL DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****61

License Status

NOT RENEWED

Business

First Name

MEREDITH

Middle

Last Name

ISRAEL

Suffix

DDS

Business Name

MEREDITH C ISRAEL DDS

Original Issue Date

02/05/2009

Effective Date

09/23/2009

Expiration Date

09/30/2012

City

CHICAGO HEIGHTS

State

Zip

60411

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012