JEROME F KATZ 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

JEROME F

Last Name

KATZ

Business Name

JEROME F KATZ

Original Issue Date

10/12/1994

Effective Date

10/12/1994

Expiration Date

09/30/2006

City

CHICAGO

State

Zip

60602

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/08/2006