DANIEL W CROLEY DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****75

License Status

NOT RENEWED

Business

First Name

DANIEL W

Last Name

CROLEY

Suffix

DMD

Business Name

DANIEL W CROLEY DMD

Original Issue Date

10/25/1994

Effective Date

10/25/1994

Expiration Date

09/30/1996

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Controlled Substance Schedule

III

Ever Disciplined

LastModifiedDate

10/13/2005