ANTHONY DAVID DENNIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

NOT RENEWED

Business

First Name

ANTHONY

Middle

DAVID

Last Name

DENNIS

Suffix

Business Name

ANTHONY DAVID DENNIS MD

Original Issue Date

07/25/2000

Effective Date

07/25/2000

Expiration Date

07/31/2008

City

MORRIS

State

Zip

60450

County

GRUNDY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008