DAMON C ADAMS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****04

License Status

NOT RENEWED

Business

First Name

DAMON C

Last Name

ADAMS

Business Name

DAMON C ADAMS

Original Issue Date

08/09/1990

Effective Date

08/09/1990

Expiration Date

09/30/1994

City

QUINCY

State

Zip

62301

County

ADAMS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005