TALETTA ANN WATSON DMD 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

TALETTA ANN

Last Name

WATSON

Suffix

DMD

Business Name

TALETTA ANN WATSON DMD

Original Issue Date

01/01/1998

Expiration Date

09/30/1988

City

WORDEN

State

Zip

62097

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005