JOHN WILLIAM MORTELL DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****94

License Status

NOT RENEWED

Business

First Name

JOHN WILLIAM

Last Name

MORTELL

Suffix

DDS

Business Name

JOHN WILLIAM MORTELL DDS

Original Issue Date

01/01/1998

Effective Date

06/08/2009

Expiration Date

09/30/2012

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012