JAMES RICHARD ALLEN DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****07

License Status

NOT RENEWED

Business

Title

DMD

First Name

JAMES

Middle

RICHARD

Last Name

ALLEN

Business Name

JAMES RICHARD ALLEN DMD

Original Issue Date

10/12/2016

Effective Date

07/30/2018

Expiration Date

01/31/2022

City

LOUISVILLE

State

Zip

40207

County

KENTUCKY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022