ROBERT E TRAUL JR 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

ROBERT

Middle

Last Name

TRAUL

Suffix

JR DDS

Business Name

ROBERT E TRAUL JR DDS

Original Issue Date

08/08/2003

Effective Date

10/01/2012

Expiration Date

09/30/2015

City

GALENA

State

Zip

61036

County

JO DAVIESS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016