DENNIS N DOLLETON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****66

License Status

NOT RENEWED

Business

First Name

DENNIS N

Last Name

DOLLETON

Suffix

Business Name

DENNIS N DOLLETON MD

Original Issue Date

06/13/1994

Effective Date

01/26/2015

Expiration Date

07/31/2017

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017