VIRGIL A BEADLE JR DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012875

License Status

NOT RENEWED

Business

First Name

VIRGIL A

Last Name

BEADLE JR

Suffix

DDS

Business Name

VIRGIL A BEADLE JR DDS

Original Issue Date

07/29/1966

Effective Date

08/20/2015

Expiration Date

09/30/2018

City

CARBONDALE

State

Zip

62903

County

JACKSON

Ever Disciplined

LastModifiedDate

10/31/2018