MAX DONALD NEWSOME DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****84

License Status

NOT RENEWED

Business

First Name

MAX DONALD

Last Name

NEWSOME

Suffix

DDS

Business Name

MAX DONALD NEWSOME DDS

Original Issue Date

01/01/1998

Effective Date

04/14/2016

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60620

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018