AMBER FAITH DEWEERD DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****26

License Status

NOT RENEWED

Business

Title

DDS

First Name

AMBER

Middle

FAITH

Last Name

DEWEERD

Business Name

AMBER FAITH DEWEERD DDS

Original Issue Date

07/18/2012

Effective Date

07/18/2012

Expiration Date

09/30/2015

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016