JAMES MICHAEL PATRONAGIO DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****06

License Status

NOT RENEWED

Business

Title

DDS

First Name

JAMES

Middle

MICHAEL

Last Name

PATRONAGIO

Business Name

JAMES MICHAEL PATRONAGIO DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/2006

City

EAST MOLINE

State

Zip

61244

County

ROCK ISLAND

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

11/08/2006