JEREMY DERIK PARROTT 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

Title

DDS

First Name

JEREMY

Middle

DERIK

Last Name

PARROTT

Business Name

JEREMY DERIK PARROTT DDS

Original Issue Date

06/20/2006

Effective Date

06/20/2006

Expiration Date

09/30/2006

City

GREAT LAKES

State

Zip

60088

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/23/2007