GENE PAUL KING DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000574

License Status

NOT RENEWED

Business

First Name

GENE

Middle

PAUL

Last Name

KING

Suffix

DDS

Business Name

GENE PAUL KING DDS

Original Issue Date

12/19/1968

Effective Date

11/05/2012

Expiration Date

09/30/2015

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Specialty/Qualifier

ORTHODONTICS

Ever Disciplined

LastModifiedDate

02/08/2016