ALFRED BASS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****82

License Status

NOT RENEWED

Business

First Name

ALFRED

Last Name

BASS

Suffix

DDS

Business Name

ALFRED BASS DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/2000

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

10/17/2005