KERI A ABBOTT Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****37

License Status

NOT RENEWED

Business

First Name

KERI

Middle

Last Name

ABBOTT

Business Name

KERI A ABBOTT

Original Issue Date

05/31/2018

Effective Date

07/16/2018

Expiration Date

01/31/2022

City

PHOENIX

State

Zip

85014

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022