RICHARD WILLIAM ALCORN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****29

License Status

NOT RENEWED

Business

Title

DDS

First Name

RICHARD

Middle

WILLIAM

Last Name

ALCORN

Business Name

RICHARD WILLIAM ALCORN DDS

Original Issue Date

01/01/1998

Effective Date

08/25/2009

Expiration Date

09/30/2012

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012