MORTON RICHARD KORNBLUM DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****74

License Status

NOT RENEWED

Business

First Name

MORTON RICHARD

Last Name

KORNBLUM

Suffix

DDS

Business Name

MORTON RICHARD KORNBLUM DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/1988

City

WHEELING

State

Zip

60090

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005