PAUL EDWARD ETCHISON DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****43

License Status

ACTIVE

Business

Title

DDS

First Name

PAUL

Middle

EDWARD

Last Name

ETCHISON

Business Name

PAUL EDWARD ETCHISON DDS

Original Issue Date

06/10/2009

Effective Date

07/29/2024

Expiration Date

09/30/2027

City

NEW LENOX

State

Zip

60451

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/29/2024