TERENCE MAH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****17

License Status

NOT RENEWED

Business

First Name

TERENCE

Last Name

MAH

Suffix

DDS

Business Name

TERENCE MAH DDS

Original Issue Date

08/06/2002

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

QUINCY

State

Zip

62301

County

ADAMS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009