NATHANIEL PATRICK HYATT DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****11

License Status

NOT RENEWED

Business

Title

DMD

First Name

NATHANIEL

Middle

PATRICK

Last Name

HYATT

Business Name

NATHANIEL PATRICK HYATT DMD

Original Issue Date

06/23/2014

Effective Date

09/18/2021

Expiration Date

09/30/2024

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025