JEFFREY PAUL ALLEN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****88

License Status

NOT RENEWED

Business

First Name

JEFFREY PAUL

Last Name

ALLEN

Suffix

DDS

Business Name

JEFFREY PAUL ALLEN DDS

Original Issue Date

01/01/1998

Effective Date

07/24/2015

Expiration Date

09/30/2018

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018