MONIQUE C TUCKER 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

MONIQUE C

Last Name

TUCKER

Business Name

MONIQUE C TUCKER

Original Issue Date

03/30/1995

Effective Date

03/30/1995

Expiration Date

09/30/1996

City

OAK PARK

State

Zip

60302

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005