SAM O'BRIEN 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

SAM

Last Name

O'BRIEN

Business Name

SAM O'BRIEN

Original Issue Date

07/31/2023

Effective Date

07/31/2023

Expiration Date

09/30/2024

City

CHICAGO

State

Zip

60639

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025