SCOTT SAMUEL OREN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****96

License Status

NOT RENEWED

Business

First Name

SCOTT SAMUEL

Last Name

OREN

Suffix

DDS

Business Name

SCOTT SAMUEL OREN DDS

Original Issue Date

01/01/1998

Effective Date

08/14/2018

Expiration Date

01/31/2022

City

BELVIDERE

State

Zip

61008

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022