SUSAN CHRISTINE CHARLES DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****64

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

CHRISTINE

Last Name

CHARLES

Suffix

DDS

Business Name

SUSAN CHRISTINE CHARLES DDS

Original Issue Date

11/23/2009

Effective Date

10/07/2015

Expiration Date

09/30/2018

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018