TERRY MARTIN WOITH 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

TERRY MARTIN

Last Name

WOITH

Suffix

DMD

Business Name

TERRY MARTIN WOITH DMD

Original Issue Date

01/01/1998

Expiration Date

09/30/1992

City

PETERSBURG

State

Zip

62675

County

MENARD

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005