PAUL D DOODES 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

PAUL

Middle

Last Name

DOODES

Business Name

PAUL D DOODES

Original Issue Date

04/09/2014

Effective Date

04/09/2014

Expiration Date

09/30/2015

City

LOCKPORT

State

Zip

60441

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016