GENE PAUL KING DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****43

License Status

NOT RENEWED

Business

First Name

GENE

Middle

PAUL

Last Name

KING

Suffix

DDS

Business Name

GENE PAUL KING DDS

Original Issue Date

01/01/1998

Effective Date

11/05/2012

Expiration Date

09/30/2015

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016