JEFFREY D COLIN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****76

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

Last Name

COLIN

Suffix

DDS

Business Name

JEFFREY D COLIN DDS

Original Issue Date

10/06/2008

Effective Date

09/02/2015

Expiration Date

09/30/2018

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018