ROY D BEDROCK DMD Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****76

License Status

CANCELLED

Business

First Name

ROY D

Last Name

BEDROCK

Suffix

DMD

Business Name

ROY D BEDROCK DMD

Original Issue Date

05/17/1991

Effective Date

05/17/1991

Expiration Date

09/30/1992

City

NILES

State

Zip

60648

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005