RICHARD J PULSIPHER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****62

License Status

NOT RENEWED

Business

First Name

RICHARD J

Last Name

PULSIPHER

Business Name

RICHARD J PULSIPHER

Original Issue Date

10/22/1996

Effective Date

10/22/1996

Expiration Date

09/30/1998

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005