ERIC KENT WOOLBRIGHT Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****11

License Status

NOT RENEWED

Business

First Name

ERIC KENT

Last Name

WOOLBRIGHT

Business Name

ERIC KENT WOOLBRIGHT

Original Issue Date

08/31/1989

Effective Date

06/04/2009

Expiration Date

09/30/2012

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012