EUGENE MICHAEL OZMENT DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****31

License Status

NOT RENEWED

Business

First Name

EUGENE

Middle

MICHAEL

Last Name

OZMENT

Suffix

DDS

Business Name

EUGENE MICHAEL OZMENT DDS

Original Issue Date

08/06/1981

Effective Date

01/04/2016

Expiration Date

09/30/2018

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018