JAMES EDWARD DONLAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****91

License Status

NOT RENEWED

Business

First Name

JAMES EDWARD

Last Name

DONLAN

Business Name

JAMES EDWARD DONLAN

Original Issue Date

01/01/1998

Effective Date

06/27/2012

Expiration Date

09/30/2015

City

PEORIA

State

Zip

61614

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016