ROGER LOUIS PAUL DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****74

License Status

NOT RENEWED

Business

First Name

ROGER LOUIS

Last Name

PAUL

Suffix

DMD

Business Name

ROGER LOUIS PAUL DMD

Original Issue Date

01/01/1998

Effective Date

08/14/2018

Expiration Date

01/31/2022

City

PEORIA

State

Zip

61614

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022