RENNIE DERREL HOLMES DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****26

License Status

NOT RENEWED

Business

First Name

RENNIE DERREL

Last Name

HOLMES

Suffix

DMD

Business Name

RENNIE DERREL HOLMES DMD

Original Issue Date

01/01/1998

Expiration Date

09/30/2004

City

FARMER CITY

State

Zip

61842

County

DE WITT

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005