PAUL J DENEMARK DDS 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

PAUL

Middle

Last Name

DENEMARK

Suffix

DDS

Business Name

PAUL J DENEMARK DDS

Original Issue Date

09/21/1992

Effective Date

08/28/2018

Expiration Date

01/31/2022

City

BURR RIDGE

State

Zip

60527

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022