DAVID LEE CARLSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****99

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

LEE

Last Name

CARLSON

Suffix

DDS

Business Name

DAVID LEE CARLSON DDS

Original Issue Date

02/07/2011

Effective Date

11/12/2015

Expiration Date

09/30/2018

City

GRAND JUNCTION

State

Zip

81501

County

COLORADO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018