DEREK K BOYDEN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****93

License Status

NOT RENEWED

Business

First Name

DEREK K

Last Name

BOYDEN

Suffix

DDS

Business Name

DEREK K BOYDEN DDS

Original Issue Date

05/02/1995

Effective Date

05/02/1995

Expiration Date

09/30/1996

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005