PAUL THEODORE ANAST DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****97

License Status

ACTIVE

Business

First Name

PAUL

Middle

THEODORE

Last Name

ANAST

Suffix

DMD

Business Name

PAUL THEODORE ANAST DMD

Original Issue Date

04/17/2009

Effective Date

08/22/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60647

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/22/2024