ANGELA L TENHOLDER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****33

License Status

NOT RENEWED

Business

First Name

ANGELA

Middle

Last Name

TENHOLDER

Business Name

ANGELA L TENHOLDER

Original Issue Date

01/28/2005

Effective Date

01/28/2005

Expiration Date

09/30/2006

City

WATERLOO

State

Zip

62298

County

MONROE

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

06/11/2024