SCOTT E TATE DDS Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001236

License Status

EXPIRED

Business

First Name

SCOTT

Middle

Last Name

TATE

Suffix

DDS

Business Name

SCOTT E TATE DDS

Original Issue Date

07/06/2000

Effective Date

07/06/2000

Expiration Date

07/01/2006

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

07/27/2006