CHERYL LEE WILLETT DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****97

License Status

NOT RENEWED

Business

First Name

CHERYL

Middle

LEE

Last Name

WILLETT

Suffix

DDS

Business Name

CHERYL LEE WILLETT DDS

Original Issue Date

07/16/1999

Effective Date

07/16/1999

Expiration Date

09/30/2000

City

ORLAND PARK

State

Zip

60462

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005