ERIK CARLTON OPPERMAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****86

License Status

NOT RENEWED

Business

First Name

ERIK CARLTON

Last Name

OPPERMAN

Business Name

ERIK CARLTON OPPERMAN

Original Issue Date

08/08/1985

Effective Date

08/08/1985

Expiration Date

09/30/1992

City

PEORIA

State

Zip

61604

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005