PAUL A AMODEO DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****79

License Status

NOT RENEWED

Business

First Name

PAUL A

Last Name

AMODEO

Suffix

DDS

Business Name

PAUL A AMODEO DDS

Original Issue Date

12/26/1991

Effective Date

09/12/2018

Expiration Date

01/31/2022

City

PEORIA

State

Zip

61603

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022