EUGENE ALLEN DEWEERTH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****06

License Status

NOT RENEWED

Business

First Name

EUGENE ALLEN

Last Name

DEWEERTH

Suffix

DDS

Business Name

EUGENE ALLEN DEWEERTH DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/2004

City

MENDOTA

State

Zip

61342

County

BUREAU

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005