DAVID P LUDINGTON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****28

License Status

NOT RENEWED

Business

First Name

DAVID P

Last Name

LUDINGTON

Suffix

DDS

Business Name

DAVID P LUDINGTON DDS

Original Issue Date

06/14/1995

Effective Date

06/14/1995

Expiration Date

09/30/1998

City

PEORIA

State

Zip

61614

County

PEORIA

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

10/13/2005