JEFFREY D AUSTIN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****07

License Status

NOT RENEWED

Business

First Name

JEFFREY D

Last Name

AUSTIN

Suffix

DDS

Business Name

JEFFREY D AUSTIN DDS

Original Issue Date

01/01/1998

Effective Date

06/08/2015

Expiration Date

09/30/2018

City

ROCHELLE

State

Zip

61068

County

OGLE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018