MEREDITH ASHLEY EVANS 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

MEREDITH

Middle

ASHLEY

Last Name

EVANS

Business Name

MEREDITH ASHLEY EVANS

Original Issue Date

06/04/2008

Effective Date

06/04/2008

Expiration Date

09/30/2009

City

CHICAGO

State

Zip

60614

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009