DALE ALBERT PROBST DMD Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019017258

License Status

INACTIVE

Business

First Name

DALE ALBERT

Last Name

PROBST

Suffix

DMD

Business Name

DALE ALBERT PROBST DMD

Original Issue Date

07/10/1980

Effective Date

07/10/1980

Expiration Date

09/30/1994

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

10/12/2005