PHILIP R NORMAN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****23

License Status

NOT RENEWED

Business

First Name

PHILIP R

Last Name

NORMAN

Suffix

DDS

Business Name

PHILIP R NORMAN DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/2000

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005