ERIC J COONTZ DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****63

License Status

NOT RENEWED

Business

First Name

ERIC

Middle

Last Name

COONTZ

Suffix

DDS

Business Name

ERIC J COONTZ DDS

Original Issue Date

12/13/1999

Effective Date

12/13/1999

Expiration Date

09/30/2000

City

CHICAGO

State

Zip

60630

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

10/17/2005