HENRY ROBERT MANFREDINI DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****13

License Status

NOT RENEWED

Business

First Name

HENRY ROBERT

Last Name

MANFREDINI

Suffix

DDS

Business Name

HENRY ROBERT MANFREDINI DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/1994

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005