EARL LEONARD WATERS JR DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****90

License Status

NOT RENEWED

Business

First Name

EARL

Middle

LEONARD

Last Name

WATERS

Suffix

JR DMD

Business Name

EARL LEONARD WATERS JR DMD

Original Issue Date

08/03/2001

Effective Date

08/03/2001

Expiration Date

09/30/2002

City

CHICAGO

State

Zip

60601

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005