WILLIAM H SLAVIN IV DDS 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

WILLIAM

Middle

Last Name

SLAVIN

Suffix

IV DDS

Business Name

WILLIAM H SLAVIN IV DDS

Original Issue Date

05/04/1995

Effective Date

05/04/1995

Expiration Date

09/30/1996

City

MANTENO

State

Zip

60950

County

KANKAKEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005