HOMER DOUGLAS WRIGHT JR Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****42

License Status

NOT RENEWED

Business

First Name

HOMER DOUGLAS

Last Name

WRIGHT JR

Business Name

HOMER DOUGLAS WRIGHT JR

Original Issue Date

01/01/1998

Effective Date

09/27/2012

Expiration Date

09/30/2015

City

RANTOUL

State

Zip

61866

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016