ANTHONY DAVID DENNIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102711

License Status

NOT RENEWED

Business

First Name

ANTHONY

Middle

DAVID

Last Name

DENNIS

Suffix

Business Name

ANTHONY DAVID DENNIS MD

Original Issue Date

06/15/2000

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

MORRIS

State

Zip

60450

County

GRUNDY

Ever Disciplined

LastModifiedDate

11/06/2008