DAVID M IVEY DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****36

License Status

NOT RENEWED

Business

First Name

DAVID M

Last Name

IVEY

Suffix

DDS

Business Name

DAVID M IVEY DDS

Original Issue Date

08/06/1981

Effective Date

08/06/1981

Expiration Date

09/30/1986

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005