LARRY D FOSTER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****69

License Status

NOT RENEWED

Business

First Name

LARRY

Middle

Last Name

FOSTER

Business Name

LARRY D FOSTER

Original Issue Date

12/14/2021

Effective Date

12/14/2021

Expiration Date

09/30/2024

City

HINES

State

Zip

60141

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025