CLAIRE NICOLE FOREMAN DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****50

License Status

INACTIVE

Business

Title

DDS

First Name

CLAIRE

Middle

NICOLE

Last Name

FOREMAN

Business Name

CLAIRE NICOLE FOREMAN DDS

Original Issue Date

10/17/2014

Effective Date

08/09/2018

Expiration Date

12/31/2021

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/16/2021