SYLVIA H ABT 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

SYLVIA H

Last Name

ABT

Business Name

SYLVIA H ABT

Original Issue Date

09/09/1983

Effective Date

09/29/2015

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60656

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018