ADAM BLAKE LINK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****65

License Status

NOT RENEWED

Business

First Name

ADAM

Middle

BLAKE

Last Name

LINK

Business Name

ADAM BLAKE LINK

Original Issue Date

07/03/2002

Effective Date

07/03/2002

Expiration Date

09/30/2004

City

DANVILLE

State

Zip

61832

County

VERMILION

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005