DAVID E DILLON Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****36

License Status

CANCELLED

Business

First Name

DAVID E

Last Name

DILLON

Business Name

DAVID E DILLON

Original Issue Date

10/13/1989

Effective Date

10/13/1989

Expiration Date

09/30/1992

City

STOCKTON

State

Zip

61085

County

JO DAVIESS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005