CARLA C COURI DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****41

License Status

NOT RENEWED

Business

First Name

CARLA C

Last Name

COURI

Suffix

DMD

Business Name

CARLA C COURI DMD

Original Issue Date

07/31/1997

Effective Date

07/31/1997

Expiration Date

09/30/1998

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005