JODICE R LEE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****55

License Status

NOT RENEWED

Business

First Name

JODICE

Middle

Last Name

LEE

Suffix

DDS

Business Name

JODICE R LEE DDS

Original Issue Date

09/09/1987

Effective Date

09/09/1987

Expiration Date

09/30/2006

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

01/29/2007