HERBERT D ODOM DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****70

License Status

NOT RENEWED

Business

First Name

HERBERT D

Last Name

ODOM

Suffix

DDS

Business Name

HERBERT D ODOM DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/1996

City

CHICAGO

State

Zip

60621

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005