ALLEN G ORENDORFF Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****78

License Status

CANCELLED

Business

First Name

ALLEN G

Last Name

ORENDORFF

Business Name

ALLEN G ORENDORFF

Original Issue Date

01/01/1998

Expiration Date

06/01/1982

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

10/13/2005