JOHN B DALE DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****96

License Status

ACTIVE

Business

First Name

JOHN

Middle

Last Name

DALE

Suffix

DMD

Business Name

JOHN B DALE DMD

Original Issue Date

03/05/1999

Effective Date

07/08/2024

Expiration Date

09/30/2027

City

PEORIA

State

Zip

61614

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/08/2024