ROBERT GREGORY FOX DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****87

License Status

NOT RENEWED

Business

First Name

ROBERT GREGORY

Last Name

FOX

Suffix

DDS

Business Name

ROBERT GREGORY FOX DDS

Original Issue Date

01/01/1998

Effective Date

06/17/2009

Expiration Date

09/30/2012

City

AMBOY

State

Zip

61310

County

LEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012