PAUL ALFRED HOMERDING DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****10

License Status

NOT RENEWED

Business

First Name

PAUL ALFRED

Last Name

HOMERDING

Suffix

DDS

Business Name

PAUL ALFRED HOMERDING DDS

Original Issue Date

01/01/1998

Effective Date

09/18/2015

Expiration Date

09/30/2018

City

MOKENA

State

Zip

60448

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018