JOHN M VICKERY Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****88

License Status

ACTIVE

Business

First Name

JOHN M

Last Name

VICKERY

Business Name

JOHN M VICKERY

Original Issue Date

08/29/1988

Effective Date

07/31/2024

Expiration Date

09/30/2027

City

NORTHBROOK

State

Zip

60062

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

07/31/2024