MARY M GEORGE 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

MARY

Middle

Last Name

GEORGE

Business Name

MARY M GEORGE

Original Issue Date

09/24/2014

Effective Date

09/24/2014

Expiration Date

09/30/2015

City

PEORIA

State

Zip

61615

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016