COLEMAN RAY CHOATE DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****60

License Status

NOT RENEWED

Business

Title

DMD

First Name

COLEMAN

Middle

RAY

Last Name

CHOATE

Business Name

COLEMAN RAY CHOATE DMD

Original Issue Date

04/05/2024

Effective Date

04/05/2024

Expiration Date

09/30/2024

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025