FERNANDO JOSE PADRON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****20

License Status

NOT RENEWED

Business

Title

DDS

First Name

FERNANDO

Middle

JOSE

Last Name

PADRON

Business Name

FERNANDO JOSE PADRON DDS

Original Issue Date

06/05/2013

Effective Date

01/03/2022

Expiration Date

09/30/2024

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025