CHARLES WAYNE MUNTER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****09

License Status

NOT RENEWED

Business

First Name

CHARLES WAYNE

Last Name

MUNTER

Suffix

DDS

Business Name

CHARLES WAYNE MUNTER DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/2000

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005