NEIL BRUCE PERKINS DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****03

License Status

NOT RENEWED

Business

First Name

NEIL BRUCE

Last Name

PERKINS

Suffix

DMD

Business Name

NEIL BRUCE PERKINS DMD

Original Issue Date

01/01/1998

Expiration Date

01/01/1998

City

RANTOUL

State

Zip

61866

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005