ANDREA MARIE BELL DMD Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****01

License Status

CANCELLED

Business

Title

DMD

First Name

ANDREA

Middle

MARIE

Last Name

BELL

Business Name

ANDREA MARIE BELL DMD

Original Issue Date

10/24/2007

Effective Date

10/24/2007

Expiration Date

09/30/2009

City

LITCHFIELD

State

Zip

62056

County

MONTGOMERY

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/04/2009