AUSTIN JEFFREY DEPORTER DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019029653

License Status

NOT RENEWED

Business

Title

DMD

First Name

AUSTIN

Middle

JEFFREY

Last Name

DEPORTER

Business Name

AUSTIN JEFFREY DEPORTER DMD

Original Issue Date

09/25/2013

Effective Date

08/20/2015

Expiration Date

09/30/2018

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/31/2018