JAMES TAYLOR LICKING DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****02

License Status

NOT RENEWED

Business

First Name

JAMES TAYLOR

Last Name

LICKING

Suffix

DDS

Business Name

JAMES TAYLOR LICKING DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/2000

City

DEKALB

State

Zip

60115

County

DEKALB

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005