BYRON LANCE RENFROE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****25

License Status

NOT RENEWED

Business

First Name

BYRON LANCE

Last Name

RENFROE

Suffix

DDS

Business Name

BYRON LANCE RENFROE DDS

Original Issue Date

01/01/1998

Effective Date

08/14/2015

Expiration Date

09/30/2018

City

GALESBURG

State

Zip

61401

County

KNOX

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018