ELIZABETH RENEE DURAN DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****05

License Status

ACTIVE

Business

Title

DMD

First Name

ELIZABETH

Middle

RENEE

Last Name

DURAN

Business Name

ELIZABETH RENEE DURAN DMD

Original Issue Date

07/19/2022

Effective Date

06/01/2024

Expiration Date

09/30/2027

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/01/2024