TIMOTHY G CASE 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

TIMOTHY G

Last Name

CASE

Business Name

TIMOTHY G CASE

Original Issue Date

11/16/1982

Effective Date

11/16/1982

Expiration Date

09/30/1988

City

QUINCY

State

Zip

62301

County

ADAMS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005