LOUIS W PATTAN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****49

License Status

NOT RENEWED

Business

First Name

LOUIS

Middle

Last Name

PATTAN

Suffix

DDS

Business Name

LOUIS W PATTAN DDS

Original Issue Date

01/23/1984

Effective Date

07/28/2015

Expiration Date

09/30/2018

City

EAST ALTON

State

Zip

62024

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018