DAVID V DENT DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045426

License Status

EXPIRED

Business

First Name

DAVID

Middle

Last Name

DENT

Suffix

Business Name

DAVID V DENT DO

Original Issue Date

08/22/2002

Effective Date

08/22/2002

Expiration Date

08/21/2004

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Preventive Medicine

Ever Disciplined

LastModifiedDate

09/22/2006