ROBERT JOHN THARP Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****89

License Status

NOT RENEWED

Business

First Name

ROBERT JOHN

Last Name

THARP

Business Name

ROBERT JOHN THARP

Original Issue Date

10/17/1996

Effective Date

10/17/1996

Expiration Date

09/30/1998

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005