ROBERT RIDDLE CARTER DDS Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****38

License Status

CANCELLED

Business

First Name

ROBERT RIDDLE

Last Name

CARTER

Suffix

DDS

Business Name

ROBERT RIDDLE CARTER DDS

Original Issue Date

01/01/1998

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Controlled Substance Schedule

III

Ever Disciplined

LastModifiedDate

06/04/2009