ROGER LOUIS PAUL DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016423

License Status

NOT RENEWED

Business

First Name

ROGER LOUIS

Last Name

PAUL

Suffix

DMD

Business Name

ROGER LOUIS PAUL DMD

Original Issue Date

07/11/1978

Effective Date

08/14/2018

Expiration Date

01/31/2022

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

05/09/2022