TRACY LYNN HOPKINS DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****14

License Status

NOT RENEWED

Business

First Name

TRACY

Middle

LYNN

Last Name

HOPKINS

Suffix

DMD

Business Name

TRACY LYNN HOPKINS DMD

Original Issue Date

11/09/1998

Effective Date

11/09/1998

Expiration Date

09/30/2002

City

ALTON

State

Zip

62002

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005