JUDITH A DEAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****76

License Status

NOT RENEWED

Business

First Name

JUDITH A

Last Name

DEAN

Business Name

JUDITH A DEAN

Original Issue Date

10/01/2007

Effective Date

09/25/2015

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018