TERENCE J WHITAKER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019028098

License Status

NOT RENEWED

Business

First Name

TERENCE

Middle

Last Name

WHITAKER

Business Name

TERENCE J WHITAKER

Original Issue Date

07/24/2009

Effective Date

07/24/2009

Expiration Date

09/30/2012

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

11/14/2012