DREW D FORQUER 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

DREW D

Last Name

FORQUER

Suffix

DDS

Business Name

DREW D FORQUER DDS

Original Issue Date

07/22/1988

Effective Date

07/22/1988

Expiration Date

09/30/1992

City

GREAT LAKES

State

Zip

60058

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/23/2012

Case Number

1991004549

Action

Suspension

Discipline Start Date

05/04/1994

Discipline End Date

03/24/2003

Discipline Reason

Violations of the Illinois Dental Practice Act.