KATHERINE LOUISE MCNAMARA 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

KATHERINE LOUISE

Last Name

MCNAMARA

Business Name

KATHERINE LOUISE MCNAMARA

Original Issue Date

08/12/1985

Effective Date

08/26/2009

Expiration Date

09/30/2012

City

GLEN CARBON

State

Zip

62034

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012