RUSSELL L PARKS 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

RUSSELL L

Last Name

PARKS

Suffix

DDS

Business Name

RUSSELL L PARKS DDS

Original Issue Date

01/01/1998

Effective Date

09/27/2012

Expiration Date

09/30/2015

City

CHICAGO

State

Zip

60651

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016