JAMIE RANAE PAUL DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****99

License Status

NOT RENEWED

Business

Title

DMD

First Name

JAMIE

Middle

RANAE

Last Name

PAUL

Business Name

JAMIE RANAE PAUL DMD

Original Issue Date

01/26/2010

Effective Date

01/26/2010

Expiration Date

09/30/2012

City

ALTON

State

Zip

62002

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012