CHARLES D CARLILE DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****37

License Status

NOT RENEWED

Business

First Name

CHARLES D

Last Name

CARLILE

Suffix

DMD

Business Name

CHARLES D CARLILE DMD

Original Issue Date

09/17/1992

Effective Date

09/17/1992

Expiration Date

09/30/1994

City

BENTON

State

Zip

62812

County

FRANKLIN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005