DONALD CLAYTON DURBIN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019010050

License Status

NOT RENEWED

Business

First Name

DONALD CLAYTON

Last Name

DURBIN

Business Name

DONALD CLAYTON DURBIN

Original Issue Date

08/15/1952

Effective Date

09/14/2012

Expiration Date

09/30/2015

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Ever Disciplined

LastModifiedDate

02/08/2016