SCOTT DOUGLAS KLOHR DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****01

License Status

NOT RENEWED

Business

Title

DMD

First Name

SCOTT

Middle

DOUGLAS

Last Name

KLOHR

Business Name

SCOTT DOUGLAS KLOHR DMD

Original Issue Date

07/19/2005

Effective Date

07/19/2005

Expiration Date

09/30/2006

City

COLUMBIA

State

Zip

62236

County

MONROE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/08/2006