HARRY JEFFERS CORNWELL 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

HARRY JEFFERS

Last Name

CORNWELL

Business Name

HARRY JEFFERS CORNWELL

Original Issue Date

01/01/1998

Expiration Date

01/01/1998

City

OAK PARK

State

Zip

60301

County

COOK

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

10/13/2005