DONALD L CARPENTER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****00

License Status

NOT RENEWED

Business

First Name

DONALD L

Last Name

CARPENTER

Business Name

DONALD L CARPENTER

Original Issue Date

01/01/1998

Expiration Date

09/30/1994

City

DANVILLE

State

Zip

61832

County

VERMILION

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

10/13/2005