JEROME UDELL SHATOFF DDS 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

JEROME UDELL

Last Name

SHATOFF

Suffix

DDS

Business Name

JEROME UDELL SHATOFF DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/1984

City

WATERLOO

State

Zip

62298

County

MONROE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005