CARRIE A WATKINS Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****67

License Status

CANCELLED

Business

First Name

CARRIE A

Last Name

WATKINS

Business Name

CARRIE A WATKINS

Original Issue Date

11/28/1990

Effective Date

11/28/1990

Expiration Date

09/30/1992

City

CHICAGO

State

Zip

60608

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005