NATHAN DOUGLAS SCHROEDER DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****41

License Status

ACTIVE

Business

First Name

NATHAN

Middle

DOUGLAS

Last Name

SCHROEDER

Suffix

DMD

Business Name

NATHAN DOUGLAS SCHROEDER DMD

Original Issue Date

12/10/2007

Effective Date

08/02/2024

Expiration Date

09/30/2027

City

PEORIA

State

Zip

61614

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/02/2024