SCOTT JEFFREY GENUTIS DDS 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

SCOTT

Middle

JEFFREY

Last Name

GENUTIS

Suffix

DDS

Business Name

SCOTT JEFFREY GENUTIS DDS

Original Issue Date

12/12/2006

Effective Date

09/08/2009

Expiration Date

09/30/2012

City

LOMBARD

State

Zip

60148

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012