RUSSELL PAUL UMBRICHT DDS 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

RUSSELL PAUL

Last Name

UMBRICHT

Suffix

DDS

Business Name

RUSSELL PAUL UMBRICHT DDS

Original Issue Date

01/01/1998

Effective Date

08/30/2012

Expiration Date

09/30/2015

City

RIVER FOREST

State

Zip

60305

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016