IAN FOSTER MONTIE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001931

License Status

NOT RENEWED

Business

Title

DDS

First Name

IAN

Middle

FOSTER

Last Name

MONTIE

Business Name

IAN FOSTER MONTIE DDS

Original Issue Date

08/20/2014

Effective Date

08/20/2014

Expiration Date

07/01/2015

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

01/07/2016