PHILIP W PERINGTON 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

PHILIP W

Last Name

PERINGTON

Business Name

PHILIP W PERINGTON

Original Issue Date

10/28/1987

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

AURORA

State

Zip

60505

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009