REENA T GEORGE 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

REENA

Middle

Last Name

GEORGE

Suffix

DDS

Business Name

REENA T GEORGE DDS

Original Issue Date

04/15/2005

Effective Date

04/15/2005

Expiration Date

09/30/2006

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/08/2006