KATHY LYNN EATON 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

KATHY

Middle

LYNN

Last Name

EATON

Suffix

DDS

Business Name

KATHY LYNN EATON DDS

Original Issue Date

03/19/2001

Effective Date

03/19/2001

Expiration Date

09/30/2002

City

COBDEN

State

Zip

62920

County

UNION

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005