KATIE MARIE YODER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****81

License Status

NOT RENEWED

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

09/01/2005

Expiration Date

09/30/2006

City

CHICAGO

State

Zip

60630

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/08/2006