REENA T GEORGE 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

REENA

Middle

Last Name

GEORGE

Suffix

DDS

Business Name

REENA T GEORGE DDS

Original Issue Date

12/22/2003

Effective Date

12/22/2003

Expiration Date

09/30/2006

City

CHICAGO

State

Zip

60659

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/08/2006