TIMANISHA UNIQUE HOLBERT DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****07

License Status

ACTIVE

Business

Title

DDS

First Name

TIMANISHA

Middle

UNIQUE

Last Name

HOLBERT

Business Name

TIMANISHA UNIQUE HOLBERT DDS

Original Issue Date

07/21/2023

Effective Date

09/30/2024

Expiration Date

09/30/2027

City

DAVENPORT

State

Zip

52807

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/30/2024