ERIC EGAN DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****85

License Status

ACTIVE

Business

Title

DMD

First Name

ERIC

Last Name

EGAN

Business Name

ERIC EGAN DMD

Original Issue Date

08/07/2020

Effective Date

05/24/2024

Expiration Date

09/30/2027

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

05/24/2024