HAROLD REILLY PATTON DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****80

License Status

ACTIVE

Business

First Name

HAROLD REILLY

Last Name

PATTON

Suffix

DDS

Business Name

HAROLD REILLY PATTON DDS

Original Issue Date

09/27/1994

Effective Date

09/16/2024

Expiration Date

09/30/2027

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/16/2024