PAUL LORIN CHILD JR DMD CDT Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****07

License Status

NOT RENEWED

Business

Title

DMD CDT

First Name

PAUL

Middle

LORIN

Last Name

CHILD

Suffix

Business Name

PAUL LORIN CHILD JR DMD CDT

Original Issue Date

06/06/2012

Effective Date

10/05/2015

Expiration Date

09/30/2018

City

LONGMONT

State

Zip

80504

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018