DANIEL GARDNER BOEH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000226

License Status

NOT RENEWED

Business

First Name

DANIEL GARDNER

Last Name

BOEH

Business Name

DANIEL GARDNER BOEH

Original Issue Date

02/15/1990

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

MARION

State

Zip

62959

County

WILLIAMSON

Specialty/Qualifier

Conscious Sedation, Parenteral

Ever Disciplined

LastModifiedDate

11/04/2009