GEORGE O FOSTER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012073

License Status

NOT RENEWED

Business

First Name

GEORGE O

Last Name

FOSTER

Suffix

DDS

Business Name

GEORGE O FOSTER DDS

Original Issue Date

08/02/1962

Effective Date

06/27/2012

Expiration Date

09/30/2015

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

02/08/2016

Case Number

1986000909

Action

Probation

Discipline Start Date

11/25/1986

Discipline End Date

12/10/1987