HOMER C ALBERTSEN 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

HOMER C

Last Name

ALBERTSEN

Suffix

DDS

Business Name

HOMER C ALBERTSEN DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/1992

City

BATAVIA

State

Zip

60510

County

KANE

Controlled Substance Schedule

IV V

Ever Disciplined

LastModifiedDate

10/13/2005