THEODORE J BORRIS 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

THEODORE J

Last Name

BORRIS

Business Name

THEODORE J BORRIS

Original Issue Date

08/12/1985

Effective Date

06/19/2012

Expiration Date

09/30/2015

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016