DOUGLAS S ALLEN DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****84

License Status

NOT RENEWED

Business

First Name

DOUGLAS S

Last Name

ALLEN

Suffix

DMD

Business Name

DOUGLAS S ALLEN DMD

Original Issue Date

09/06/1990

Effective Date

07/09/2015

Expiration Date

09/30/2018

City

QUINCY

State

Zip

62305

County

ADAMS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018