CARL P LITTLE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000913

License Status

NOT RENEWED

Business

First Name

CARL

Middle

Last Name

LITTLE

Business Name

CARL P LITTLE

Original Issue Date

12/07/1995

Effective Date

12/07/1995

Expiration Date

06/30/1997

City

ALTON

State

Zip

62002

County

MADISON

Specialty/Qualifier

Advanced General Dentistry

Ever Disciplined

LastModifiedDate

10/12/2005