J PATRICK WARD DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****28

License Status

NOT RENEWED

Business

First Name

J PATRICK

Last Name

WARD

Suffix

DMD

Business Name

J PATRICK WARD DMD

Original Issue Date

02/08/1991

Effective Date

02/08/1991

Expiration Date

09/30/1998

City

MARION

State

Zip

62959

County

WILLIAMSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005