LINDA K SHIELDS COLTER DDS MSD 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

LINDA K SHIELDS

Last Name

COLTER DDS MSD

Business Name

LINDA K SHIELDS COLTER DDS MSD

Original Issue Date

11/15/1991

Effective Date

11/15/1991

Expiration Date

09/30/1992

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Controlled Substance Schedule

IV V

Ever Disciplined

LastModifiedDate

10/13/2005