TODD K ENGEL 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

TODD K

Last Name

ENGEL

Business Name

TODD K ENGEL

Original Issue Date

08/16/1984

Effective Date

08/16/1984

Expiration Date

09/30/1990

City

FLORA

State

Zip

62839

County

CLAY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005