RONALD PETER JACOB PAULSON DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****76

License Status

ACTIVE

Business

Title

DMD

First Name

RONALD

Middle

PETER JACOB

Last Name

PAULSON

Business Name

RONALD PETER JACOB PAULSON DMD

Original Issue Date

06/14/2021

Effective Date

09/05/2024

Expiration Date

09/30/2027

City

VERNON HILLS

State

Zip

60061

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/05/2024