PETER DORAN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****25

License Status

NOT RENEWED

Business

First Name

PETER

Last Name

DORAN

Suffix

DDS

Business Name

PETER DORAN DDS

Original Issue Date

01/01/1998

Effective Date

10/01/2012

Expiration Date

09/30/2015

City

MENDOTA

State

Zip

61342

County

LA SALLE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016