SCOTT KIMBALL PERKINS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****88

License Status

NOT RENEWED

Business

First Name

SCOTT

Middle

KIMBALL

Last Name

PERKINS

Business Name

SCOTT KIMBALL PERKINS

Original Issue Date

12/31/2009

Effective Date

08/29/2012

Expiration Date

09/30/2015

City

TIMNATH

State

Zip

80547

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

02/08/2016