IAN FOSTER MONTIE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019030321

License Status

NOT RENEWED

Business

Title

DDS

First Name

IAN

Middle

FOSTER

Last Name

MONTIE

Business Name

IAN FOSTER MONTIE DDS

Original Issue Date

07/20/2015

Effective Date

07/20/2015

Expiration Date

09/30/2018

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

10/31/2018