LAURA FITZPATRICK MEINCKE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****85

License Status

NOT RENEWED

Business

First Name

LAURA

Middle

FITZPATRICK

Last Name

MEINCKE

Business Name

LAURA FITZPATRICK MEINCKE

Original Issue Date

08/14/2015

Effective Date

09/25/2018

Expiration Date

01/31/2022

City

DURANT

State

Zip

52747

County

ROCK ISLAND

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022