REBECCA SUE PRESCOTT DDS 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

REBECCA

Middle

SUE

Last Name

PRESCOTT

Suffix

DDS

Business Name

REBECCA SUE PRESCOTT DDS

Original Issue Date

10/17/2007

Effective Date

07/13/2012

Expiration Date

09/30/2015

City

CHICAGO

State

Zip

60641

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016