SUSANA KURTZ 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

SUSANA

Last Name

KURTZ

Business Name

SUSANA KURTZ

Original Issue Date

01/22/1988

Effective Date

01/22/1988

Expiration Date

09/30/1992

City

MELROSE PARK

State

Zip

60160

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005