PAUL T LADNER 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 T

Last Name

LADNER

Suffix

DDS

Business Name

PAUL T LADNER DDS

Original Issue Date

08/09/1990

Effective Date

06/29/2018

Expiration Date

01/31/2022

City

GALESBURG

State

Zip

61401

County

KNOX

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/09/2022