CHARLES BOSWELL DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****95

License Status

NOT RENEWED

Business

First Name

CHARLES

Last Name

BOSWELL

Suffix

DDS

Business Name

CHARLES BOSWELL DDS

Original Issue Date

10/25/1994

Effective Date

08/16/2018

Expiration Date

01/31/2022

City

EVANSTON

State

Zip

60202

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022