GARRETT DAVID OBENAUF DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****76

License Status

NOT RENEWED

Business

Title

DMD

First Name

GARRETT

Middle

DAVID

Last Name

OBENAUF

Business Name

GARRETT DAVID OBENAUF DMD

Original Issue Date

10/22/2020

Effective Date

10/22/2020

Expiration Date

01/31/2022

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022