PAUL ANTHONY NATIVI DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****83

License Status

NOT RENEWED

Business

First Name

PAUL ANTHONY

Last Name

NATIVI

Suffix

DDS

Business Name

PAUL ANTHONY NATIVI DDS

Original Issue Date

01/01/1998

Effective Date

08/15/2018

Expiration Date

01/31/2022

City

WOODRIVER

State

Zip

62095

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022