ISAAC EUGENE DAVISON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****12

License Status

NOT RENEWED

Business

Title

DDS

First Name

ISAAC

Middle

EUGENE

Last Name

DAVISON

Business Name

ISAAC EUGENE DAVISON DDS

Original Issue Date

11/07/2007

Effective Date

11/07/2007

Expiration Date

09/30/2009

City

JOLIET

State

Zip

60435

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009