ROBERT JOSEPH BEAUDRY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****86

License Status

NOT RENEWED

Business

First Name

ROBERT JOSEPH

Last Name

BEAUDRY

Business Name

ROBERT JOSEPH BEAUDRY

Original Issue Date

03/18/1985

Effective Date

03/18/1985

Expiration Date

09/30/1986

City

WAUKEGAN

State

Zip

60085

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005