SCOTT SAMUEL OREN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****04

License Status

NOT RENEWED

Business

First Name

SCOTT SAMUEL

Last Name

OREN

Suffix

DDS

Business Name

SCOTT SAMUEL OREN DDS

Original Issue Date

04/28/1998

Effective Date

08/09/2012

Expiration Date

09/30/2015

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016