TERRY DELL CISLER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****22

License Status

NOT RENEWED

Business

First Name

TERRY

Middle

DELL

Last Name

CISLER

Suffix

DDS

Business Name

TERRY DELL CISLER DDS

Original Issue Date

07/13/2010

Effective Date

07/13/2010

Expiration Date

09/30/2012

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012