EUGENE CHARLES DECKER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****13

License Status

NOT RENEWED

Business

First Name

EUGENE CHARLES

Last Name

DECKER

Suffix

DDS

Business Name

EUGENE CHARLES DECKER DDS

Original Issue Date

11/07/2007

Effective Date

11/07/2007

Expiration Date

09/30/2009

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009