KATIE MARIE YODER DDS Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****80

License Status

CANCELLED

Business

First Name

KATIE

Middle

MARIE

Last Name

YODER

Suffix

DDS

Business Name

KATIE MARIE YODER DDS

Original Issue Date

09/01/2005

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

CHICAGO

State

Zip

60647

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/04/2009