JUDITH A DEAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****91

License Status

NOT RENEWED

Business

First Name

JUDITH A

Last Name

DEAN

Business Name

JUDITH A DEAN

Original Issue Date

05/02/1988

Effective Date

05/02/1988

Expiration Date

09/30/2000

City

CHICAGO

State

Zip

60646

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005