JOHN W PRUITT DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000318

License Status

NOT RENEWED

Business

First Name

JOHN W

Last Name

PRUITT

Suffix

DDS

Business Name

JOHN W PRUITT DDS

Original Issue Date

04/18/1989

Effective Date

04/18/1989

Expiration Date

06/30/1995

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

10/12/2005