DALE S DOUGLAS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****90

License Status

ACTIVE

Business

First Name

DALE S

Last Name

DOUGLAS

Business Name

DALE S DOUGLAS

Original Issue Date

03/18/1985

Effective Date

09/29/2024

Expiration Date

09/30/2027

City

ARLINGTON HTS

State

Zip

60005

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/29/2024