OLIVER PATRICK ARCHIBALD MD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****88

License Status

NOT RENEWED

Business

Title

First Name

OLIVER

Middle

PATRICK

Last Name

ARCHIBALD

Business Name

OLIVER PATRICK ARCHIBALD MD

Original Issue Date

10/25/1988

Effective Date

10/25/1988

Expiration Date

09/30/1990

City

WEST CHICAGO

State

Zip

60185

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005