ALLEN BEE DEATON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****37

License Status

NOT RENEWED

Business

First Name

ALLEN

Middle

BEE

Last Name

DEATON

Suffix

DDS

Business Name

ALLEN BEE DEATON DDS

Original Issue Date

05/11/1999

Effective Date

05/11/1999

Expiration Date

09/30/2004

City

ANTIOCH

State

Zip

60002

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005