SAMUEL D KENDRICK DMD Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****35

License Status

CANCELLED

Business

First Name

SAMUEL D

Last Name

KENDRICK

Suffix

DMD

Business Name

SAMUEL D KENDRICK DMD

Original Issue Date

01/01/1998

Expiration Date

06/01/1982

City

LITCHFIELD

State

Zip

62056

County

MONTGOMERY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005