PAUL JOHN DIRKES 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

PAUL JOHN

Last Name

DIRKES

Suffix

DDS

Business Name

PAUL JOHN DIRKES DDS

Original Issue Date

01/01/1998

Expiration Date

06/01/1982

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005