MEGAN ELIZABETH OLDRIDGE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****70

License Status

NOT RENEWED

Business

First Name

MEGAN

Middle

ELIZABETH

Last Name

OLDRIDGE

Business Name

MEGAN ELIZABETH OLDRIDGE

Original Issue Date

08/06/2015

Effective Date

08/06/2015

Expiration Date

09/30/2018

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018