INDEPENDENT PRACTICING GENERAL FAMILY DENTISTS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

APPROVED DENTAL/DENTAL HYGENIST CE SPONSOR

License Number

174000035

License Status

NOT RENEWED

Business

Business Name

INDEPENDENT PRACTICING GENERAL FAMILY DENTISTS

Original Issue Date

03/18/2005

Effective Date

03/18/2005

Expiration Date

09/30/2006

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

11/08/2006