PAUL D QUILLMAN Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****12

License Status

CANCELLED

Business

First Name

PAUL D

Last Name

QUILLMAN

Business Name

PAUL D QUILLMAN

Original Issue Date

01/01/1998

Expiration Date

09/30/2006

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/24/2006