EFRAIM AUGUSTO SOCARRAS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****95

License Status

NOT RENEWED

Business

Title

DDS

First Name

EFRAIM

Middle

AUGUSTO

Last Name

SOCARRAS

Business Name

EFRAIM AUGUSTO SOCARRAS DDS

Original Issue Date

01/20/2010

Effective Date

01/20/2010

Expiration Date

09/30/2012

City

DUNLAP

State

Zip

61525

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

11/14/2012