DAVID M IVEY DDS 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

DAVID M

Last Name

IVEY

Suffix

DDS

Business Name

DAVID M IVEY DDS

Original Issue Date

03/24/1982

Effective Date

03/24/1982

Expiration Date

09/30/1984

City

MATTOON

State

Zip

61938

County

COLES

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005