KATHERINE BORELLO OLDHAM DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****05

License Status

NOT RENEWED

Business

First Name

KATHERINE

Middle

BORELLO

Last Name

OLDHAM

Suffix

DDS

Business Name

KATHERINE BORELLO OLDHAM DDS

Original Issue Date

11/04/2013

Effective Date

11/04/2013

Expiration Date

09/30/2015

City

WHEATON

State

Zip

60187

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016