MARY ELIZABETH HAUPTLE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****77

License Status

NOT RENEWED

Business

First Name

MARY ELIZABETH

Last Name

HAUPTLE

Business Name

MARY ELIZABETH HAUPTLE

Original Issue Date

10/23/1984

Effective Date

10/23/1984

Expiration Date

09/30/1990

City

CHICAGO

State

Zip

60646

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005