CLARISSA M COUCH DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****91

License Status

ACTIVE

Business

First Name

CLARISSA M

Last Name

COUCH

Suffix

DDS

Business Name

CLARISSA M COUCH DDS

Original Issue Date

06/12/1992

Effective Date

07/19/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60607

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/19/2024