RANDY K MULADORE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****65

License Status

NOT RENEWED

Business

First Name

RANDY K

Last Name

MULADORE

Suffix

DDS

Business Name

RANDY K MULADORE DDS

Original Issue Date

07/30/1982

Effective Date

07/30/1982

Expiration Date

09/30/1996

City

PLAINFIELD

State

Zip

60544

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005