TONY W MCCLURE DDS Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****03

License Status

CANCELLED

Business

First Name

TONY

Middle

Last Name

MCCLURE

Suffix

DDS

Business Name

TONY W MCCLURE DDS

Original Issue Date

10/11/2006

Effective Date

10/11/2006

Expiration Date

09/30/2009

City

GALESBURG

State

Zip

61401

County

KNOX

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/04/2009