DONALD CLAYTON DURBIN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****21

License Status

NOT RENEWED

Business

First Name

DONALD CLAYTON

Last Name

DURBIN

Business Name

DONALD CLAYTON DURBIN

Original Issue Date

10/26/1981

Effective Date

09/14/2012

Expiration Date

09/30/2015

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016