JULIE S DANIELS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****35

License Status

NOT RENEWED

Business

First Name

JULIE S

Last Name

DANIELS

Suffix

DDS

Business Name

JULIE S DANIELS DDS

Original Issue Date

08/23/1988

Effective Date

08/23/1988

Expiration Date

09/30/1990

City

ORION

State

Zip

61273

County

HENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005