FRANKIE J BEARLY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****23

License Status

NOT RENEWED

Business

First Name

FRANKIE

Middle

Last Name

BEARLY

Business Name

FRANKIE J BEARLY

Original Issue Date

04/02/2012

Effective Date

04/02/2012

Expiration Date

09/30/2012

City

CENTRALIA

State

Zip

62801

County

MARION

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012