DAVID CONROY TRENT 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

Title

DDS

First Name

DAVID

Middle

CONROY

Last Name

TRENT

Business Name

DAVID CONROY TRENT DDS

Original Issue Date

02/15/2006

Effective Date

02/15/2006

Expiration Date

09/30/2006

City

LIBERTYVILLE

State

Zip

60048

Specialty/Qualifier

HOSPITAL/CLINIC

Ever Disciplined

LastModifiedDate

11/08/2006