DAVID JOHN BAILEY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****30

License Status

NOT RENEWED

Business

First Name

DAVID JOHN

Last Name

BAILEY

Business Name

DAVID JOHN BAILEY

Original Issue Date

01/01/1998

Expiration Date

09/30/1998

City

PEORIA

State

Zip

61605

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005