LISA DOE ARTHUR DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****72

License Status

NOT RENEWED

Business

First Name

LISA

Middle

DOE

Last Name

ARTHUR

Suffix

DMD

Business Name

LISA DOE ARTHUR DMD

Original Issue Date

01/25/2012

Effective Date

09/10/2012

Expiration Date

09/30/2015

City

GURNEE

State

Zip

60031

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016