ATHEEFUR R PAPA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****99

License Status

NOT RENEWED

Business

First Name

ATHEEFUR R

Last Name

PAPA

Suffix

DDS

Business Name

ATHEEFUR R PAPA DDS

Original Issue Date

10/06/2006

Effective Date

06/17/2009

Expiration Date

09/30/2012

City

NORTHLAKE

State

Zip

60164

County

COOK

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012