CHRIS J ZUMSTEIN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****73

License Status

NOT RENEWED

Business

First Name

CHRIS

Middle

Last Name

ZUMSTEIN

Business Name

CHRIS J ZUMSTEIN

Original Issue Date

09/15/2006

Effective Date

09/15/2006

Expiration Date

09/30/2009

City

SHOREWOOD

State

Zip

60404

County

WILL

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009