DAVID J CLATCH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****68

License Status

NOT RENEWED

Business

First Name

DAVID J

Last Name

CLATCH

Suffix

DDS

Business Name

DAVID J CLATCH DDS

Original Issue Date

12/30/1993

Effective Date

12/30/1993

Expiration Date

09/30/1998

City

EVANSTON

State

Zip

60201

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005