SAMANTHA S HUMKE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****73

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

Last Name

HUMKE

Suffix

DDS

Business Name

SAMANTHA S HUMKE DDS

Original Issue Date

01/30/2012

Effective Date

09/30/2015

Expiration Date

09/30/2018

City

DUBUQUE

State

Zip

52001

County

IOWA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

10/31/2018