EUGENE CHARLES DECKER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****61

License Status

NOT RENEWED

Business

First Name

EUGENE CHARLES

Last Name

DECKER

Suffix

DDS

Business Name

EUGENE CHARLES DECKER DDS

Original Issue Date

01/01/1998

Effective Date

08/30/2018

Expiration Date

01/31/2022

City

OAK LAWN

State

Zip

60453

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022