ROBERT MICHAEL PERRIE 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

ROBERT MICHAEL

Last Name

PERRIE

Business Name

ROBERT MICHAEL PERRIE

Original Issue Date

04/22/1987

Effective Date

04/22/1987

Expiration Date

09/30/1994

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005