ANDREW JOSEPH ORMAN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****87

License Status

NOT RENEWED

Business

Title

DDS

First Name

ANDREW

Middle

JOSEPH

Last Name

ORMAN

Business Name

ANDREW JOSEPH ORMAN DDS

Original Issue Date

08/08/2012

Effective Date

08/08/2012

Expiration Date

09/30/2015

City

MATTOON

State

Zip

61938

County

COLES

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016