CHARLES ADAIR KOONZ DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****10

License Status

NOT RENEWED

Business

First Name

CHARLES ADAIR

Last Name

KOONZ

Suffix

DDS

Business Name

CHARLES ADAIR KOONZ DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/2004

City

DWIGHT

State

Zip

60420

County

LIVINGSTON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005