ROLLIN ALEXANDER KHOURY 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

ROLLIN

Middle

ALEXANDER

Last Name

KHOURY

Business Name

ROLLIN ALEXANDER KHOURY

Original Issue Date

10/25/2001

Effective Date

10/25/2001

Expiration Date

09/30/2006

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2007