DAN KIRK SPECKHART DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****35

License Status

NOT RENEWED

Business

First Name

DAN KIRK

Last Name

SPECKHART

Suffix

DMD

Business Name

DAN KIRK SPECKHART DMD

Original Issue Date

01/01/1998

Effective Date

06/17/2009

Expiration Date

09/30/2012

City

PITTSFIELD

State

Zip

62363

County

PIKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012