GEOFFREY TODD DECKER DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****62

License Status

ACTIVE

Business

First Name

GEOFFREY

Middle

TODD

Last Name

DECKER

Suffix

DMD

Business Name

GEOFFREY TODD DECKER DMD

Original Issue Date

09/01/2000

Effective Date

05/20/2024

Expiration Date

09/30/2027

City

OAK LAWN

State

Zip

60453

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/20/2024