DAVID P LUDINGTON DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000408

License Status

INACTIVE

Business

First Name

DAVID P

Last Name

LUDINGTON

Suffix

DDS

Business Name

DAVID P LUDINGTON DDS

Original Issue Date

09/12/1996

Effective Date

09/12/1996

Expiration Date

09/30/1998

City

DUNLAP

State

Zip

61525

County

PEORIA

Specialty/Qualifier

Deep Sedation and General Anesthesia

Ever Disciplined

LastModifiedDate

10/13/2005