EUGENE MICHAEL OZMENT DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000069

License Status

NOT RENEWED

Business

First Name

EUGENE

Middle

MICHAEL

Last Name

OZMENT

Suffix

DDS

Business Name

EUGENE MICHAEL OZMENT DDS

Original Issue Date

01/01/1998

Effective Date

06/04/2009

Expiration Date

09/30/2012

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Specialty/Qualifier

Deep Sedation and General Anesthesia

Ever Disciplined

LastModifiedDate

11/14/2012