SETH PAUL FREEDMAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****54

License Status

NOT RENEWED

Business

First Name

SETH PAUL

Last Name

FREEDMAN

Business Name

SETH PAUL FREEDMAN

Original Issue Date

04/03/1996

Effective Date

04/03/1996

Expiration Date

09/30/2002

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005