SCOTT JEFFREY GENUTIS 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

SCOTT

Middle

JEFFREY

Last Name

GENUTIS

Suffix

DDS

Business Name

SCOTT JEFFREY GENUTIS DDS

Original Issue Date

12/12/2006

Effective Date

12/12/2006

Expiration Date

09/30/2009

City

WHEATON

State

Zip

60187

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009