JOHN MONTY CORLEY DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

RESTRICTED FACULTY LICENSE

License Number

136000019

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

MONTY

Last Name

CORLEY

Suffix

DDS

Business Name

JOHN MONTY CORLEY DDS

Original Issue Date

06/25/1992

Effective Date

06/25/1992

Expiration Date

06/30/1992

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

10/13/2005