DOUGLAS N IVERSON DDS 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

DOUGLAS N

Last Name

IVERSON

Suffix

DDS

Business Name

DOUGLAS N IVERSON DDS

Original Issue Date

01/01/1998

Expiration Date

01/01/1998

City

OAK FOREST

State

Zip

60452

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005