WILLIAM TRAVIS POPE Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****27

License Status

CANCELLED

Business

First Name

WILLIAM TRAVIS

Last Name

POPE

Business Name

WILLIAM TRAVIS POPE

Original Issue Date

01/01/1998

Expiration Date

09/30/1992

City

GALENA

State

Zip

61036

County

JO DAVIESS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005