FRED LLOYD AUD DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****32

License Status

NOT RENEWED

Business

First Name

FRED LLOYD

Last Name

AUD

Suffix

DDS

Business Name

FRED LLOYD AUD DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/2000

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005