LARRY D FOSTER 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

LARRY

Middle

Last Name

FOSTER

Business Name

LARRY D FOSTER

Original Issue Date

09/26/1988

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

ELMWOOD PARK

State

Zip

60707

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009