ELLIOTT C SMALL 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

ELLIOTT C

Last Name

SMALL

Suffix

DDS

Business Name

ELLIOTT C SMALL DDS

Original Issue Date

01/01/1998

Expiration Date

01/01/1998

City

CHICAGO

State

Zip

60615

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005