JOSEPH L DAW MD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****95

License Status

NOT RENEWED

Business

First Name

JOSEPH

Middle

Last Name

DAW

Suffix

Business Name

JOSEPH L DAW MD

Original Issue Date

09/04/1986

Effective Date

09/04/1986

Expiration Date

09/30/1990

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005