RAYMOND J MCMULLEN JR Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****73

License Status

NOT RENEWED

Business

First Name

RAYMOND J

Last Name

MCMULLEN JR

Business Name

RAYMOND J MCMULLEN JR

Original Issue Date

03/09/1983

Effective Date

09/08/2009

Expiration Date

09/30/2012

City

NAPERVILLE

State

Zip

60564

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012