JAMES CARL PEURACH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****96

License Status

NOT RENEWED

Business

First Name

JAMES CARL

Last Name

PEURACH

Business Name

JAMES CARL PEURACH

Original Issue Date

11/15/1985

Effective Date

11/15/1985

Expiration Date

09/30/1986

City

CHICAGO

State

Zip

60680

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005