TRACEY MICHELLE VEST DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****88

License Status

NOT RENEWED

Business

First Name

TRACEY MICHELLE

Last Name

VEST

Suffix

DMD

Business Name

TRACEY MICHELLE VEST DMD

Original Issue Date

08/21/1998

Effective Date

08/21/1998

Expiration Date

09/30/2004

City

MT PROSPECT

State

Zip

60056

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005