JULIE ROCHELLE NATHANSON DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****71

License Status

ACTIVE

Business

First Name

JULIE

Middle

ROCHELLE

Last Name

NATHANSON

Suffix

DDS

Business Name

JULIE ROCHELLE NATHANSON DDS

Original Issue Date

01/26/1999

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/01/2024