ALBERT LOUIS BEITZ DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****27

License Status

NOT RENEWED

Business

First Name

ALBERT

Middle

LOUIS

Last Name

BEITZ

Suffix

DDS

Business Name

ALBERT LOUIS BEITZ DDS

Original Issue Date

01/01/1998

Effective Date

12/24/2014

Expiration Date

09/30/2015

City

MAPLETON

State

Zip

61547

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016